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首页|期刊导航|中国医药科学|单孔直角腹腔镜腹膜后入路术式对感染坏死性胰腺炎患者的疗效及安全性影响

单孔直角腹腔镜腹膜后入路术式对感染坏死性胰腺炎患者的疗效及安全性影响

郑宇 李志伟 王元喜 骆明建 柯绍标 张清

中国医药科学2016,Vol.6Issue(14):173-175,191,4.
中国医药科学2016,Vol.6Issue(14):173-175,191,4.

单孔直角腹腔镜腹膜后入路术式对感染坏死性胰腺炎患者的疗效及安全性影响

Efficacy and safety of single port laparoscopic retroperitoneal approach to patients with necrotizing pancreatitis

郑宇 1李志伟 1王元喜 1骆明建 1柯绍标 1张清2

作者信息

  • 1. 广东省东莞康华医院肝胆胰外科,广东东莞 523080
  • 2. 广州中医药大学第二临床医学院,广东广州 510405
  • 折叠

摘要

Abstract

ObjectiveTo study the efficacy and safety of single port laparoscopic retroperitoneal approach to patients with necrotizing pancreatitis.Methods 64 cases of patients with necrotizing pancreatitis cured in our hospital from January 2010 to December 2015 were retrospectively analyzed. Patients with single port laparoscopic retroperitoneal approach were selected as observation group, and patients with traditional open surgery were selected as control group.The efficacy and safety of the two groups were observed.Results Comparing the 0peration indexes of the two groups, the amount of bleeding, operation time, length of stay of observation group were significantly less than those of control group.There was no significant difference on APACHE-Ⅱ score between the two groups before and 1d after the treatment.APACHE-Ⅱ scores of observation group 3d and 7d after the treatment were significantly lower than those of control group, and the differences were statistically significant (P<0.05).Number of complications of observation group after the operation was significantly less than that of control group, and all the differences above were statistically significant (P<0.05).ConclusionThe efficacy of single port laparoscopic retroperitoneal approach to patients with necrotizing pancreatitis is very significant. Its removal rate of necrotic tissue and operation safety are high. It is worthy of clinical popularization and application.

关键词

腹腔镜/胰腺炎/感染/外科手术/腹膜后入路

Key words

Laparoscope/Pancreatitis/Infected/Surgical operation/Retroperitoneal approach

分类

医药卫生

引用本文复制引用

郑宇,李志伟,王元喜,骆明建,柯绍标,张清..单孔直角腹腔镜腹膜后入路术式对感染坏死性胰腺炎患者的疗效及安全性影响[J].中国医药科学,2016,6(14):173-175,191,4.

基金项目

广东省东莞市社会科技发展项目(2015108101027)。 ()

中国医药科学

2095-0616

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