急性胆石性胰腺炎延期腹腔镜胆囊切除分析

目的 :探讨急性胆石性胰腺炎 (AGP)延期腹腔镜胆囊切除术 (LC)的选择及时机。方法 :2 5例AGP在综合治疗症状缓解并经影像学检查排除胆管结石后选择延期LC。结果 :2 2例胰腺炎缓解 3～ 12d ,平均 9d后住院期间行LC。 3例在出院 1～ 2月后分别行LC。LC均顺利 ,未出现任何并发症 ,随访未见胆管结石残留及胰腺炎复发。结论 :LC可在AGP症状缓解 1～ 2周后施术。

Analysis of delayed laparoscopic cholecystectomy for acute gallstone

Objective:To explore the selection and best opportunity of delayed laparoscopic cholecystectomy for acute gallstone pancreatitis.Methods:Twenty-five patients were relieved symptoms by medicine therapy,then they were determined with no bile duct calculus by image examination and performed delayed laparoscopic cholecystectomy.Re-sults:Twenty-two patients were carried out laparoscopic cholecystectomy during hospitalization of3-12days(mean9d)after pancreatitis had subsided.3patients were operated with laparoscopic cholecystectomy in one or two months out of hospital.All were accomplished successfullywithout operative complication.Followed up to today,no one had common bile duct stones and recurrence of pancreatitis.Conclusions:It is safe and feasible that delayed laparoscopic cholecystectomy is employed in acute gallstone pancreatitis1-2weeks after remission of their signs and symptomes.