摘要
目的：探讨急性胆石性胰腺炎（acute gallstone pancreatitis，AGP）实施早期腹腔镜胆囊切除术（laparoscopic cholecystectomy，LC）的可行性及手术时机。方法：23例AGP在胰腺炎缓解后3～10d，平均7d，在同次住院期间早期施行LC，并与延期LC组的临床资料作对照研究。结果：早期LC组所有LC手术成功，无一例中转及并发症发生。1例AGP术后3天又发作急性胰腺炎，经保守治疗后症状缓解。与同一时期的延期LC组相比，早期LC不但明显缩短了住院时间，并大大节省了住院费用。结论：AGP患者在胰腺炎缓解后3～10d，并经影像学检查排除胆总管结石后施行LC是安全可行的。
Objective： To explore the feasibility and timing of early laparoscopic cholecystectomy（LC） for acute gallstone pancreatitis （AGP）. Methods： Twenty-three patients with AGP were underwent early laparoseopic cholecystectomy during hospitalization of 3-10 days （mean 7d） after pancreatitis had subsided. In the meantime, it was compared with delayed laparoscopic cholecystectomy for AGP. Results： One patient with AGP suffered from recurrence of acute pancreatitis on the third days after early LC, and was relieved from symptoms with conservative treatment. All were accomplished successfully without conversion to open cholecystectomy and operative complication. The AGP patients with earlier LC had a shorter stay in hospital and less hospitalization expenses, compared with the those with delayed LC. Conclusions： It is safe and feasible that roled out the choledocholith by image examination early LC is performed in patients with AGP during 3 -10 days after remission of their signs and symptoms. operation
