Abstract:

Objective   To explore the key factors which affect the effect of surgical treatment for patients with severe acute pancreatitis. Methods   141 cases were divided into the bliogenic pancreatitis group and the non-bliogenic pancreatitis group, and the survival rate, age, Ranson′s score, Binder score and days between surgery and the onset of the disease were compared between the survivors and the dead. Results   In the bliogenic pancreatitis group, the survival rate was 71.4% in those accepting early operation and 70.6% in those accepting delayed operation (P>0.05). In the non-bliogenic pancreatitis group, the survival rate was 77.8% in those accepting early operation and 81.1% in those accepting delayed operation (P>0.05). In the bliogenic pancreatitis group, the age and days between surgery and the onset of the disease had no statistical difference, but the Binder score and Ranson′s score were higher in the dead compared to the survivors. In the nonbliogenic pancreatitis group, the age, Ranson′s score and Binder score were higher,but the days between surgery and the onset of the disease was lower in the dead compared to the survivors. Conclusion   Surgery time is not the key factor influencing surgical result, but Binder score can be used as a good index for assessing prognosis.

Key words: Severe acute pancreatitis; Ranson′s score; Outcome after surgery; Binder score