急性胆源性胰腺炎行腹腔镜胆囊切除的体会

Application of Laparoscopic Cholecystectomy in Treatment of Acute Biliary Pancreatitis

目的:探讨应用腹腔镜技术治疗急性胆源性胰腺炎的可行性、有效性和手术方法。方法:回顾分析我院腹腔镜胆囊切除术在急性胆源性胰腺炎治疗中的病人资料,将其按发病后的手术时间分为三组,统计各组病人的手术耗时、术后住院天数、住院花费以及并发症的有无。结果:经过随访有34位患者术后恢复良好,有1位复发,三组之间的手术耗时、术后住院天数、住院花费以及并发症无统计学差异(P>0.05)。结论:急性胆源性胰腺炎患者采用腹腔镜手术治疗效果明显、安全,手术时机的选择无严格的限定。

Objective： To evaluate the effect and the surgical technique for treatment of acute biliary pancreatitis with laparoscope.Methods： Retrospective analysis of date of 1aparoscopic cholecystectomy was employed in acute biliary pancreatitis,all of the patients were distributed into three groups by the optimal time.Results： By following up,34 patients recovered well after operation,and only 1 patient had recurrent pancreatitis,there was no significant difference during three groups in operation time,postoperative days,expending in hospital and intercurrent diseases.Conclusion： Laparoscopic cholecystectomy can gain good results in the treatment of ABP,time of operation is not strictly for patients.