The Open Packing of the Lesser Sac Technique in Infected Severe Acute Pancreatitis

作     者：DCochiorSConstantinoiu DPeta Mariana Cochior Rodica Birla LPripisi 

作者机构：Clinical Hospital CF 2 BucharestDepartment of SurgeryResearch DepartmentFaculty of Medicine of theUniversity Titu MaiorescuBucharestRumania Clinical Hospital“Santa Maria”BucharestDepartment of General and Esophageal Surgery University ofMedicine and Pharmacy Carol DavilaBucharestRumania Emergency Clinic HospitalIntensive Care UnitUniversity of Medicine and PharmacyCarol DavilaBucharestRumania 

出 版 物：《Surgical Science》 (外科学（英文）)

年 卷 期：2010年第1卷第1期

页      面：7-14页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Open Packing of the Lesser Sac (OPLS) Severe Acute Pancreatitis (SAP) Infected Necrosis Pancreatic Abscess and Necrosectomy 

摘      要：Aim: The goal of this study is to evaluate the open packing of the lesser sac (OPLS) in treatment of infected severe acute pancreatitis Methodology: The study was based on 98 cases in which this technique was applied during the period between 19942007, in two departments of surgery (Clinical Hospital CF 2 and Clinical Hospital ?Sf. Maria Bucharest). The technique was applied based on the therapeutically protocol previously established beginning with 2000. The OPLS technique was analyzed relatively to: timing of surgery, the localization of the infected necrosis or abscesses, growing germs on the cultures, antibiotics received, executed primarily or at reintervention, the number of debridement, hospitalization, morbidity and mortality. The information was statistically processed using SPSS test version 17 for Windows. Results: The OPLS technique improved the control of the local sepsis, in the retrospective/prospective study in 83.7%. Mortality was 16.3% (16/98), with a global mortality of 26.3% (75/285) and a postoperative mortality of 29.5% (66/224). Conclusions: Considering the fact that the intensive care techniques are approximately the same in the last 15 years, we thought that this improvement in the survival rate may be due to the application of OPLS in cases with indication and optimal timing for surgery.