Sequential ERCP and laparoscopy for acute biliary pancreatitis
10.3760/cma.j.issn.1007-5232.2012.04.006
- VernacularTitle:内镜联合腹腔镜阶梯性治疗急性胆源性胰腺炎的疗效观察
- Author:
Yongzhong GAO
;
Tanglin JIN
;
Hongmei YAO
;
Guoqing ZHOU
;
Wei ZHU
;
Leiping RAO
- Publication Type:Journal Article
- Keywords:
Pancreatitis;
Biliary tract;
Acute disease;
Duodenoscopes;
Cholecystectomy,laparoscopic
- From:
Chinese Journal of Digestive Endoscopy
2012;29(4):197-200
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy of sequential ERCP and laparoscopy for acute biliary pancreatitis (ABP).Methods A total of 80 patients with ABP were randomly divided into 2 groups to receive sequential ERCP and laparoscopy (observation group,n=40) or traditional surgery (control group,n=40).Clinical data including abdominal pain relief time,recovery time of white blood cell,blood amylase and liver function,hospital stay,complication rate and mortality were analyzed.Results ERCP failed in 1 patient in observation group,and the remaining 39 patients (97.5％) were recruited into the study.There were significant differences between 2 groups in regarding of abdominal pain relief time (7.7±2.7 d vs.11.4±3.7 d),recovery time of white blood cell ( 9.7±2.6 d vs.13.3±3.9 d ),blood amylase ( 8.2±2.1 d vs.12.5±3.3 d ),liver function ( 12.5±5.1 d vs.21.3±6.5 d ),hospital stay ( 16.1±5.1 d vs.23.3±7.6 d ) and rate of complication ( 12.8％ vs.30.0％ ).There was no significant difference in morbidity between 2 groups (5.1％ vs.7.5％).Conclusion Sequential ERCP and laparoscopy is effective for ABP.
