28例胆囊结石并急性胰腺炎的腹腔镜胆囊切除术疗效分析

Analysis of Laparoscopic Cholecystectomy for 28 Examples with Acute Pancreatitis Accompanying Gallstones

目的探讨胆囊结石合并急性胰腺炎行腹腔镜胆囊切除术的可行性和手术时机。方法回顾性分析28例胆囊结石合并急性胰腺炎行腹腔镜胆囊切除术的临床资料及其治疗结果。结果28例完成腹腔镜胆囊切除术,术后恢复良好。结论对于胆囊结石并急性胰腺炎的患者,首先按急性胰腺炎的治疗原则进行积极的非手术治疗,然后选择恰当的手术时机行腹腔镜胆囊切除术。它是一种较为安全、可行的手术方法。

Objective To approach the feasibility and timing of laparoscopic cholecystectomy（LC） for the treatment of acute pancreatitis accompanying gallstones. Methods To reospective analyze the cinical data and therapeutic result of LC for 28 examples with acute pancreatitis accompanying gallstones. Results All of the 28 patients were successfully implemented by LC,postoperative recovery was well. Conclusion The patients with acute pancreatitis accompanying gallstones should be expectant treatmented according to therapeutic principle of acute pancreatitis at first, being implemented by LC at correct operation opportunity, which is one kind of safety and feasible surgery method.