Severe acute pancreatitis
Conditions
Interventions
Dual-channel visual debridement group :Debridement is performed with debridement instruments under dual-channel visualization
Traditional debridement group :Conventional flushing and debridement with a stone retrieval net were performed using a choledochoscope.
Sponsors
General Hospital of the Western Theater Command of the People's Liberation Army of China
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Aged 18 - 80 years old, regardless of gender; 2. Patients diagnosed with severe acute pancreatitis (SAP) according to the latest revised Atlanta classification and treatment guidelines; 3. Imaging confirms the presence of necrotic collections in the peripancreatic or retroperitoneal area and there is a puncture path; 4. Willingly accept diagnosis and treatment and sign the informed consent form before surgery.
Exclusion criteria
Exclusion criteria: 1. Those with significantly abnormal coagulation time and obvious bleeding tendency; 2. Those for whom radiomics indicates that the infectious accumulation is in an area that is difficult for the puncture needle to reach, or those who may have damage to adjacent vital organs; 3. Those with failure of multiple systemic organs and extremely poor general condition; 4. Those who refuse to participate in or withdraw from this experiment midway.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The cure time of peripancreatic infectious necrosis ; | — |
Secondary
| Measure | Time frame |
|---|---|
| The time and frequency of debridement;Data related to advanced treatment (such as surgical treatment);Death rate;Indicators related to infection and inflammatory responses; | — |
Countries
China
Contacts
Public ContactWen Yi
General Hospital of the Western Theater Command of the People's Liberation Army of China
Outcome results
None listed