Hughes C J, Ramsey-Stewart G, Storey D W
Department of Upper Gastrointestinal Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Aust N Z J Surg. 1990 Jun;60(6):467-70. doi: 10.1111/j.1445-2197.1990.tb07404.x.
Four cases of gross peripancreatic sepsis have been managed with repeated laparotomies and packing of the lesser sac. A zipper was used for abdominal closure in three patients and the abdomen was left open in one. Sequential laparotomy enabled repeated debridement of non-viable pancreatic and peripancreatic tissue and prevented intra-abdominal septic accumulations. An additional benefit of this technique was the frequent detection and correction of clinically unsuspected complications of the septic abdomen.
4例严重胰周感染患者接受了反复剖腹手术及小网膜囊填塞治疗。3例患者使用拉链关闭腹部，1例患者腹部敞开。分期剖腹手术能够反复清创坏死的胰腺及胰周组织，并防止腹腔内感染积聚。该技术的另一个好处是能够频繁发现并纠正腹腔感染临床上未被怀疑的并发症。
