Sazhin V P, Avdovenko A L, Gluchko V A, Musatova L D
Khirurgiia (Mosk). 1994 Mar(3):56-9.
The possibilities of the accepted surgical tactics in the treatment of acute destructive pancreatitis based on a single operative intervention with drainage of the omental bursa and retroperitoneal space are very limited. It is not always possible to remove the necrotic tissues fully, arrest the inflammatory process, and completely cleanse the abdominal cavity, omental bursa, and parapancreatic fat during the operation. Reasoning from this, the authors suggest a method for treating acute destructive pancreatitis. It consists in the creation of an omentobursopancreatostoma followed by stage endoscopic necrectomy of pancreatic areas and endoscopic control over the course of regeneration in the omental bursa and retroperitoneal space till a chronic pancreatic fistula forms, which usually spontaneously closes later. With the use of this method in 46 patients with pancreonecrosis, postoperative complications and mortality reduced.
基于对网膜囊和腹膜后间隙进行单次手术引流的公认手术策略来治疗急性坏死性胰腺炎，其可能性非常有限。在手术过程中，并不总是能够完全清除坏死组织、阻止炎症进程以及彻底清洁腹腔、网膜囊和胰腺周围脂肪。基于此，作者提出了一种治疗急性坏死性胰腺炎的方法。该方法包括创建网膜囊胰腺造口术，随后分阶段对胰腺区域进行内镜下坏死组织切除术，并通过内镜控制网膜囊和腹膜后间隙的再生过程，直至形成慢性胰瘘，而这种瘘通常随后会自行闭合。在46例胰腺坏死患者中应用该方法后，术后并发症和死亡率有所降低。
