Early Minimally Invasive Cholecystectomy in treatment of Gallstones with Acute Mild Biliary Pancreatitis
LIU Yong-he
Hepatobiliary Surgery Department, People' s Hospital of Jizhou District, Tianjin (301900), China
Abstract:
Objective To investigate the effect of early laparoscopic minimally cholecystectomy in treatment of acute mild biliary pancreatitis. Methods Totally 82 patients with acute mild biliary pancreatitis from January 2010 to March 2018 were divided into observation group and control group, 41 cases in each group. The observation group were given early laparoscopic minimally invasive cholecystectomy ( 3 to 5 d after first hospitalization), while the control group were given delayed laparoscopic minimally invasive cholecystectomy ( 2 to 3 months after inflammation control, no cholecystitis or pancreatitis recurrence). The operation time and anal exhaust time after operation were compared between the two groups. The incidence of complications, hospitalization time and cost, and recurrence of the disease after operation were compared and observed. Results There was no recurrence after operation in both groups. There was no signi?cant difference in the time of operation, the time of hepatic portal exhaust and the incidence of complications between observation group and control group (P > 0 . 05 ). The hospitalization time and hospitalization expenses of the observation group were significantly lower than those of the control group. The difference was statistically significant (P <0.05). Conclusion Early laparoscopic minimally invasive cholecystectomy for gallstone patients with acute mild biliary pancreatitis can effectively reduce hospital stay and cost, and reduce the potential recurrence of pancreatitis in patients waiting for surgery, which is of clinical signi?cance.
