Smadja C, Bismuth H
Br J Surg. 1986 May;73(5):408-10. doi: 10.1002/bjs.1800730532.
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.
对38例接受胰腺清创术治疗急性坏死性胰腺炎的患者进行了研究。第1组由12例接受早期手术的重症患者组成。第2组由15例因后续并发症而接受二次手术的患者组成，第3组包含11例因胆石性胰腺炎而接受择期手术的患者。第1、2和3组的手术死亡率分别为100%、27%和0%。无论因并发症（66%）还是择期胆道手术（36%）进行胰腺清创术，其发病率都很高。这些数据表明，急性坏死性胰腺炎患者行胰腺清创术的指征可能有限。
