Abstract：Objective To exp1ore the effect of 1aparoscopic cho1ecystectomy（LC）in different periods in the treatment of acute pancreatitis comp1icated with ga11stone.Methods 100 cases of acute pancreatitis comp1icated with ga11stone treated by LC from Apri1 2013 to Apri1 2014 in our hospita1 were se1ected and divided into the ear1y 1aparoscopic surgery group（n=41）and the de1ayed 1aparoscopic surgery group（n=59）according to the operation time.The ear1y 1aparoscopic surgery group was given ear1y LC treatment，the de1ayed 1aparoscopic surgery group was given schedu1ed for LC treatment after conservative treatment.Hospita1 stay，the recurrence rate of pancreatitis and the comprehensive index of the patients in the two groups was compared.Results The 1ength of hospita1 stay in the ear1y 1aparoscopic surgery group was shorter than that in the de1ayed 1aparoscopic surgery group，with significant difference（P＜0.05）.There was no significant difference in the recurrence rate of pancreatitis between the two groups（P＞0.05）.The 1eve1 of a1anine aminotransferase after operation at the first day in the two groups was 1ower than that before operation，the 1eve1 of aspartate aminotransferase after operation at the third days in the two groups was 1ower than that before operation，the 1eve1 of average a1ka-1ine phosphatase after operation at the fifth days in the two groups was 1ower than that before operation，with significant difference（P＜0.05）.The 1eve1 of a1anine aminotransferase after operation at the seventh days in the ear1y 1aparoscopic surgery group was 1ower than that in the de1ayed 1aparoscopic surgery group，with significant difference（P＜0.05）.There was no significant difference in the 1eve1 of aspartate aminotransferase and a1ka1ine phosphatase after operation at the seventh days between the two groups（P＞0.05）.Conclusion For the treatment of acute pancreatitis associated with ga11-stone，the ear1y LC and de1ayed surgery have no obvious difference in the treatment effect and recurrence，but the eauy LC can significant1y reduce the average 1ength of stay，it is worthy of c1inica1 promotion and app1ication.
蒋丰强. 不同时期腹腔镜胆囊切除术治疗急性胰腺炎合并胆囊结石的效果分析[J]. 中国当代医药, 2016, 23(18): 44-46.
JIANG Feng-qiang. Effect analysis of laparoscopic cholecystectomy in different periods in the treatment of acute pancreatitis complicated with gallstone. 中国当代医药, 2016, 23(18): 44-46.
京公网安备 11010502046607号