Hollender L F, Meyer C, Keller D
Zentralbl Chir. 1984;109(8):513-23.
The authors stress the therapeutic importance of peritoneal lavage for eliminating toxic substances from the abdominal cavity. In cases of a stenosing papilla or an impacted gallstone, endoscopic papillotomy and stone extraction are recommended. The indication for surgical interventions, like nekrosectomy or segmental resection of the pancreas, are discussed in detail. In case of diffuse recurrent peritonitis the technique of the "open abdomen" should be taken into consideration. The results of 44 resections and 14 necrosectomies are represented. The overall mortality rate comes up to 35 or 40% respectively.
作者强调腹腔灌洗对于清除腹腔内有毒物质的治疗重要性。对于乳头狭窄或胆结石嵌顿的病例，建议进行内镜乳头切开术和取石术。详细讨论了诸如胰腺坏死组织清除术或胰腺节段切除术等外科干预的指征。对于弥漫性复发性腹膜炎的情况，应考虑“开放腹腔”技术。展示了44例切除术和14例坏死组织清除术的结果。总体死亡率分别高达35%或40%。
