Clinical evaluation on early surgery for patients with severe acute pancreatitis / 重庆医科大学学报

ABSTRACT

Objective:To evaluate the curative effects of early surgery for patients with severe acute pancreatitis (SAP).Methods:147 SAP patients were analyzed retrospectively.38 out of 147 patients with SAP presented single or multiple organ dysfuction (SAP-Ⅱ) in early stage of SAP.Among them 23 patients underwent early operation,and they were studied and compared with 15 patients treated non-surgically in early stage of SAP.Results:The mortality in the early operation group was 30.43%(7/23),compared with 66.67%(10/15) of those not receiving operation in early stage.Statistic analysis showed that there was significant difference between them.Conclusion:Early operation is necessary for some severe cases.In early stage of SAP surgery should be performed when patients present single or multiple organ dysfunction under routine conservative management in order to decrease the mortality of SAP.