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| Operative timing and indications for patients with severe acute pancreatitis: report of 172 cases |
| Bei Sun, Hong-Chi Jiang and Jun Xun |
From the Department of General Surgery, First Clinical Hospital Harbin Medical University Harbin 150001 China (Sun B Jiang HC and Xun J)
Correspondence: Bei Sun MD (Tel: 86-451-3600283; Fax: 86-451-3670428; Email: sunbei70@163.net) |
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Abstract Objective: to investigate the operative timing and indications for severe acute pancreatitis SAP.
Methods: Data collected from 172 patients with SAP treated in our hospital since 1980 were analyzed retrospectively.
Results: In the 94 patients who had undergone early operation before June 1992, 57 (62.8%) healed 35 (37.2%) died and 16 (17.0%) had no postoperative complications. In the 78 patients who had been treated after July 1992 according to the principle of “individualization” 66 (84.6%) healed 12 (15.4%) died and 37 (47.4%) had no postoperative complications. In the 78 patients 32 received non-operative treatment but 30 (93.8%) cured 12 early operation but 7(58.3%) cured 18 late operation but 13 (72.2%) cured and 16 selected time operation but all cured.
Conclusions: IT is concluded that individualized therapy is effective and reasonable for treating SAP. The indications for early late and selected time operation should be emphasized.
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2002, Vol. 1 
