Gui D, Azaretto M, Sganga G
Department of Surgery, Università Cattolica del Sacro Cuore, Rome, Italy.
J Trauma. 1995 Jan;38(1):8-10. doi: 10.1097/00005373-199501000-00004.
Retroperitoneal abscess with multiple organ failure, after traumatic duodenal rupture followed by dehiscence of duodenal sutures, is a condition associated with a very high mortality. We report on a case treated by retroperitoneal laparostomy, a technique proposed as treatment for pancreatic abscess after an acute necrotizing pancreatitis. The retroperitoneal laparostomy creates a wide open cavity in a gravity-favorable position, allowing drainage and daily debridement of necrotic collections.
创伤性十二指肠破裂后继发十二指肠缝线裂开，进而引发腹膜后脓肿并伴有多器官功能衰竭，这是一种死亡率极高的病症。我们报告了一例采用腹膜后剖腹术治疗的病例，该技术曾被提议用于治疗急性坏死性胰腺炎后的胰腺脓肿。腹膜后剖腹术在重力有利的位置创建一个宽敞开放的腔隙，便于坏死组织积聚物的引流及每日清创。
