Laparoscopy and digital subtraction angiography in the treatment of severe acute pancreatitis / 中华外科杂志
Chinese Journal of Surgery
;
(12): 750-752, 2007.
Article
in Chinese
| WPRIM
| ID: wpr-342082
ABSTRACT
<p><b>OBJECTIVE</b>To study the effect of laparoscopy and digital subtraction angiography in the treatment of severe acute pancreatitis (SAP).</p><p><b>METHODS</b>Seventy-five SAP patients were randomly divided into tow groups (1) Conventional treatment group (group A, n = 35); (2) Conventional treatment combined with laparoscopy and digital subtraction angiography treatment group (group B, n = 40). The clinical parameters and treatment results in the 2 groups were compared.</p><p><b>RESULTS</b>After treatment, APACHE II score in group B was significantly lower than that in group A (P < 0.05). The functions of liver, renal and lung were recovered (P < 0.05, respectively), levels of serum TNF-alpha and IL-1 beta were significantly lower, but IL-10 significantly elevated (P < 0.05), the CT SPN was much lower (P < 0.05); rate of organ failure significantly decreased (P < 0.01), the successful rate of organ failure treatment was increased (P < 0.05); the in hospital mortality decreased (all P < 0.05).</p><p><b>CONCLUSIONS</b>Laparoscopy and digital subtraction angiography in combination with conventional treatment for SAP significantly improves the outcome and decrease the mortality of SAP.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prognosis
/
Therapeutics
/
Blood
/
Angiography, Digital Subtraction
/
Mortality
/
Tumor Necrosis Factor-alpha
/
Treatment Outcome
/
Interleukin-10
/
Hospital Mortality
/
Laparoscopy
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2007
Type:
Article
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