川北医学院学报2016，Vol.31Issue(1)：81-83,3.DOI:10.3969/j.issn.1005-3697.2016.01.22
腹腔镜联合十二指肠镜手术治疗急性重症胆源性胰腺炎的临床研究
Clinical study on laparoscope combined with duodenoscope in treatment of patients with severe acute biliary pancreatitis
蔡勇 1张建淮 2杨晨晨 1陈国锋 2周传文 3许刚2
作者信息
- 1. 南京医科大学附属淮安第一医院急诊外科，江苏 淮安 223300
- 2. 南京医科大学附属淮安第一医院肝胆胰外科，江苏 淮安 223300
- 3. 南京医科大学附属淮安第一医院消化内科，江苏 淮安 223300
- 折叠
摘要
Abstract
Objective:To explore the clinical efficacy and safety of laparoscope combined with duodenoscope in the treatment of patients with severe acute biliary pancreatitis (ABP).Methods:A total of 58 patients with ABP were randomly divided into observation group (n =28)treated with aparoscope combined with duodenoscope and control group (n =30)with conventional laparotomy.Surgical conditions,mortality rate and rate of complications were compared between two groups.Results:Patients of both groups finished the surgery completely and none died.In observation group,3 patients with difficulty of intubation due to duodenoscope,3 with incarcerated gallstones in papilla and 2 with residual lithiasis received secondary duodenoscope in selective days,while 8 were complicated with cho-ledocholithiasis.In control group,1 patient who had disease aggravation 3 d after operation was given surgical debridement drainage and 6 had residual lithiasis.The mortality rates of observation and control groups were 3.57% and 16.67%,respectively (P >0.05 ),and observation group was markedly shorter in hospital stays than control group (P <0.01 ).The rate of complications was 14.29% in ob-servation group,prominently lower than the 43.33% in control group (P <0.01 )Conclusion:Laparoscope combined with duodeno-scope is an ideal surgical method for patients with ABP,which can has lower mortality rate,reduce postoperative complications,promote disease recovery and shorten hospital stays.关键词
腹腔镜/十二指肠镜/胆源性胰腺炎/并发症Key words
Laparoscope/Duodenoscope/Biliary pancreatitis/Complication分类
医药卫生引用本文复制引用
蔡勇,张建淮,杨晨晨,陈国锋,周传文,许刚..腹腔镜联合十二指肠镜手术治疗急性重症胆源性胰腺炎的临床研究[J].川北医学院学报,2016,31(1):81-83,3.
