Lippert H, Wolff H
Klinik für Chirurgie, Bereichs Medizin (Charité), Humboldt-Universität zu Berlin.
Zentralbl Chir. 1990;115(9):543-51.
Surgical intervention in the presence of pancreatic necrosis was indicated if infection of necrosis developed. The demonstration of necrosis by CT, without clinical evidence of infection was not sufficient for operation. From 155 patients with necrotizing pancreatitis 134 had an operation upon. Surgical technique was the necrotectomy, drainage formation of a compartment and the periodic local lavage of the pancreatic cavum. 53 (39%) of 134 operated patients died.
如果发生坏死感染,则需要对胰腺坏死进行手术干预。CT显示有坏死但无感染临床证据,这不足以进行手术。155例坏死性胰腺炎患者中,134例接受了手术。手术技术包括坏死组织切除术、隔室引流形成以及胰腺腔的定期局部灌洗。134例接受手术的患者中有53例(39%)死亡。