Babb R R
Am J Dig Dis. 1976 Aug;21(8):672-6. doi: 10.1007/BF01071965.
Due to the lack of randomized controlled studies comparing medical with surgical therapy, the role of surgery in acute pancreatitis is not clear. This is especially true in critically ill patients who are rapidly deteriorating with hemorrhagic or necrotizing pancreatitis. Surgical intervention may be of benefit in those patients who do not have a clearcut diagnosis of pancreatitis and may have a surgically correctable disorder, who have biliary or pancreatic duct disease, or who have developed a complication such as abscesses or a pseudocyst. The mortality rate of performing a laparotomy on patients with acute pancreatitis is not prohibitive.
由于缺乏比较药物治疗与手术治疗的随机对照研究，手术在急性胰腺炎中的作用尚不清楚。对于因出血性或坏死性胰腺炎而病情迅速恶化的重症患者而言尤其如此。对于那些没有明确胰腺炎诊断且可能患有可通过手术纠正的疾病、患有胆管或胰管疾病或已出现诸如脓肿或假性囊肿等并发症的患者，手术干预可能有益。对急性胰腺炎患者进行剖腹手术的死亡率并非过高。
