Pancreatic debridement in acute necrotizing pancreatitis: An obsolete procedure?
Pancreatic debridement in acute necrotizing pancreatitis: An obsolete procedure?
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急性坏死性胰腺炎的胰腺清创术：一种过时的手术吗？
DOI：
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发表时间：
1986
影响因子：
9.6
通讯作者：
H. Bismuth
中科院分区：
文献类型：
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作者：
C. Smadja;H. Bismuth
对 38 名接受胰腺清创治疗的急性坏死性胰腺炎患者进行了研究。第 1 组由 12 名接受早期手术的危重患者组成。第 2 组由 15 名因并发症而接受二次手术的患者组成，第 3 组由 11 名因胆石性胰腺炎接受选择性手术的患者组成。第 1、2 和 3 组的手术死亡率分别为 100%、27% 和 0%。无论是因并发症（66％）还是择期胆道手术（36％）而进行的胰腺清创术均具有较高的发病率。这些数据表明，急性坏死性胰腺炎患者的胰腺清创术可能只有有限的适应症。
Thirty‐eight patients treated by pancreatic debridement for acute necrotizing pancreatitis were studied. Group 1 consisted of 12 critically ill patients who underwent early surgery. Group 2 was formed from 15 patients operated upon secondarily for supervening complications and group 3 contained 11 patients operated upon electively for gallstone pancreatitis. The operative mortality was 100, 27 and 0 per cent for groups 1, 2 and 3 respectively. Pancreatic debridement was associated with a high morbidity whether performed for complications (66 per cent) or elective biliary surgery (36 per cent). These data suggest that there is probably only limited indication for pancreatic debridement in patients with acute necrotizing pancreatitis.