Operation time and curative effect on acute gallstone pancreatitis
10.3760/cma.j.issn.1673-4203.2016.06.004
- VernacularTitle:急性胆源性胰腺炎行手术治疗的时机及疗效分析
- Author:
Wei YANG
;
Jiejing CHEN
;
Qing NI
- Publication Type:Journal Article
- Keywords:
Pancreatitis;
Cholecystolithiasis;
Cholecystectomy,laparoscopic
- From:
International Journal of Surgery
2016;43(6):371-374
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyse and summarise of the clinical effect and operative opportunity laparoscopic cholecystectomy for acute mild unobstructed gallstone pancreatitis.Methods Fify-four gallstone pancreatitis patients were treated as observation group in the first people's hospital of yangzhou from December 2012 to September 2015,which were treated with laparoscopic cholecystectomy after two weeks,while 53 patients which were treated with laparoscopic cholecystectomy after three months were treated as control group.The treatment effect,operation time,hospitalization time and total cost.Results There were no deaths,no bile duct injury and biliary fistula,the total hospitalization time [(19.8 ±2.6)d vs (26.5 ±3.5) d],the total cost [(2.6282 ± 0.2451) vs (3.2892 ± 0.3982)],recurrent pancreatitis rate (0) were lower than the control group(9.4％),the recovery rate of liver function were higher than the control group,there was significant difference between two groups(P ＜ 0.05),however,there was no significant difference between two groups for postoperative complications and operation time (P ＞ 0.05).Conclusions For acute mild unobstructed gallstone pancreatitis patients,the safe and feasible operative opportunity was recommended two weeks after the symptoms were completely improved,Laparoscopic cholecystectomy in the treatment of acute gallstone pancreatitis can promote recovery,shorten the hospitalization time.
