关键词: 重症急性胰腺炎, 手术技巧, 腹腔镜

Abstract: 【Abstract】〓Objective〓To investigate the techniques and clinical efficacy in severe acute pancreatitis(SAP) catheter drainage by laparoscopic surgery. Methods〓The clinical data of 54 patients with SAP,.who were admitted to the First People's Hospital of Shunde and underwent the early laparoscopic surgery catheter drainage from January 2007 to December 2014,.were retrospectively analyzed. Results〓Of the 54 cases, one case was converted to open surgery because of bleeding, one case was underwent the abdominal incision repair because of intestinal damage. The operation time ranged from 102 to 185 min and the average was 128 min..Fifty cases were cured,.and the hospitalization time was 17-106 days(the median time was 30.5 days)..Four cases were died, in whom one case died of multiple organ failure, one case died of pancreatic cancer and two cases died of delayed abdominal bleeding and hemorrhagic shock. The time of death were 4 days, 21 days, 33 days and 36 days, respectively. One case underwent the second laparoscopic surgery in 32 days after the first operation because of pancreatic abscess..Three cases became to pancreatic pseudocyst..One case was cured with conservative treatment..Two cases were cured after puncture and drainage. Conclusion〓Early laparoscopic surgery catheter drainage can effectively improve the prognosis of SAP,.and becomes an effective method of treatment.

Key words: Severe acute pancreatitis, Laparoscope, Surgical techniques