Efficacy of incision and drainage versus percutaneous catheter drainage in treatment of severe acute pancreatitis com-plicated by pancreatic abscess

Objective To investigate the clinical features and treatment of severe acute pancreatitis( SAP) complicated by pancreatic abscess( PA). Methods The clinical data of 17 SAP patients with PA who were admitted to Affiliated Hospital of Luzhou Medical College from January 1,2005 to August 25,2015 were analyzed retrospectively. The clinical manifestations,therapeutic methods,and outcome were summarized. Results Of all the 17 patients,12 patients underwent surgical operation,among whom 9 were cured,1 experienced postoperative intestinal fistula,and 2 experienced recurrence of abscess and underwent the surgery again( 1 died of multiple organ failure),and the mean hospital stay was( 108. 29 ± 52. 37) d; 5 patients underwent percutaneous catheter drainage,among whom 4 were cured,and 1 underwent surgical treatment due to inadequate drainage,and the mean hospital stay was( 53. 03 ± 6. 71) d. Conclusion Adequate drainage should be performed once a confirmed diagnosis of PA is made,and appropriate drainage methods should be selected based on the patient's actual condition. Minimally invasive treatment has a good effect,a short length of hospital stay,and few complications,and holds promise for clinical application.