急性胆源性胰腺炎行胆囊切除术时机的选择

The timing of cholecystectomy for acute biliary pancreatitis

胆石症是引起急性胰腺炎最常见的原因,在我国占全部胰腺炎的50%。大约15%~20%的病人起病急且较重,发病率和病死率都很高。胆囊切除术是预防急性胆源性胰腺炎复发的有效措施,已经成为急性胆源性胰腺炎常规治疗中的一部分,但对于急性胆源性胰腺炎发作后行胆囊切除术的时机仍然存在争议。该文通过复习相关文献,从轻型急性胆源性胰腺炎病人与中重型急性胆源性胰腺炎病人的差异来讨论行胆囊切除术的最佳时机。

Cholelithiasis is the most common cause of acute pancreatitis, accounting for 50% of all pancreatitis in China. About 15% to 20% of patients have an acute and severe onset with high morbidity and mortality. Cholecystectomy is an effective measure to prevent the recurrence of acute biliary pancreatitis and has become a part of routine treatment of acute biliary pancreatitis, but the timing of cholecystectomy after the onset of acute biliary pancreatitis remains controversial. In this paper, we reviewed the literature and discuss the optimal timing of cholecystectomy from the difference between mild acute biliary pancreatitis patients and moderate and severe acute biliary pancreatitis patients.