急性结石性胆囊炎并急性胰腺炎早期腹腔镜治疗

Early Laparoscopy for the Treatment of Acute Pancreatitis with Calculous Cholecystitis

【目的】探讨急性结石性胆囊炎合并胰腺炎早期行腹腔镜胆囊切除术（LC）的可行性。【方法】回顾性分析47例急性结石性胆囊炎者合并胰腺炎的临床资料。【结果】47例在发病48h内行急诊手术，40例顺利完成LC术，4例转腹腔镜下胆总管探查，3例中转开腹手术，平均住院天数为5d。全组病例恢复良好，无并发症。【结论】急性结石性胆囊炎合并胰腺炎早期可考虑行LC治疗，关键在于病例及手术时机的选择。

[Objective] To explore the feasihility of early laparoscopic cholecystectomy （LC） for the treat- ment of acute pancreatitis with calculous eholeeystitis. [Methods] Clinical data of 47 cases of acute pancreatitis with calculous cholecystitis were analyzed retrospectively. [Results] All the 47 patients underwent emergency surgery within 48h after onset. Forty patients completed LC smoothly, Four patients converted to !.aparoscopie common bile duct exploration. Three patients converted to open surgery. The average hospital stay was 5 days. All the patients recovered well without complications. [Conclusion] LC can be taken as an early treat- ment of acute panereatitis with calculous cholecystitis. The selection of patients and surgical time are the key, and should be paid attention.