Clinical effects of early laparoscopic cholecystectomy for the patients with acute pancreatitis with gallbladder stone
10.3760/cma.j.issn.1007-8118.2014.02.003
- VernacularTitle:胆囊结石合并急性胰腺炎患者早期腹腔镜胆囊切除术的临床疗效
- Author:
Wenzhong BAO
;
Xiangling MENG
;
Liang LI
;
Dawei TANG
;
Gaochao ZHOU
;
Jiawen WANG
- Publication Type:Journal Article
- Keywords:
Cholelithiasis;
Pancreatitis;
Cholecystectomy,laparoscopic
- From:
Chinese Journal of Hepatobiliary Surgery
2014;20(2):89-91
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the feasibility and timing of early laparoscopic cholecystectomy (LC) for the patients with mild-to-moderate acute pancreatitis with gallbladder stone.Methods 26 patients with mild-to-moderate acute pancreatitis with gallbladder stone underwent early laparoscopic cholecystectomy.The patients were initially treated with conservative treatment.When the diagnosis was confirmed and the patients were stable,LC was carried out within 48 hours of hospitalization.The results were compared with a delayed group of patients who received delayed LC for acute pancreatitis.Results All the LC operations were successfully carried out.There were no significant differences between the two groups in alkaline phosphatase,alanine aminotransferase,aspartate aminotransferase,blood amylase and urine armylase on postoperative day 1,3,5,7.Patients who received early laparoscopic cholecystectomy had a shorter hospital stay.There were no significant differences between the two groups in the operation time,intraoperative blood loss,postoperative complication rates and recurrence of acute pancreatifis.Conclusion After CBD stones have been ruled out,it is safe and feasible to carry out early laparoscopic cholecystectomy within 48 hours of hospital admission for patients with mild-to-moderate acute pancreatitis with gallbladder stone.
