Debridement and drainage of infected necrosis for severe acute pancreatitis via lumbo-retroperitoneal route / 中南大学学报(医学版)

ABSTRACT

OBJECTIVE@#To determine the route and ways of debridement and drainage of infected necrosis for severe acute pancreatitis (SAP) combined with pancreatic infection.@*METHODS@#Clinical data of 28 patients with SAP accompanied with secondary pancreatic infection, who underwent lumbo-retroperitoneal debridement, drainage and lavage after the operation were retrospectively investigated.@*RESULTS@#Four patients underwent one operation, 21 underwent 2 operations, and 3 underwent 3 operations. All patients recovered or improved and were discharged by postoperative lavage. Four patients had complications, including 1 gastrointestinal bleeding,1 intestinal fistula and 2 pancreatic fistula.@*CONCLUSION@#Debridement and drainage of infected necrosis for SAP combined with pancreatic infection via lumbo-retroperitoneal route is direct, safe and effective.