中国普通外科杂志2016，Vol.25Issue(9)：1324-1330,7.DOI:10.3978/j.issn.1005-6947.2016.09.017
急性胆源性胰腺炎胆道疾病的外科处理
Surgical treatment of biliary duct diseases in acute biliary pancreatitis
摘要
Abstract
Objective: To investigate the method and timing of surgical treatment of biliary duct diseases in patients with acute biliary pancreatitis (ABP). <br> Methods: The clinical data of 206 ABP patients undergoing surgical treatment for bile duct diseases were retrospectively analyzed. Of the patients, 192 cases had mild disease, 2 cases had moderately severe disease, and 12 cases had severe disease. The surgical procedures included cholecystectomy, choledocholithotomy-T-tube drainage, ERCP and partial hepalobectomy. <br> Results: All patients with moderately severe or severe ABP underwent early surgical treatment atfer non-surgical treatment. In patients with mild ABP, the time of antibiotic administration, overall length of hospital stay and hospitalization cost were significantly reduced in cases undergoing early surgical treatment (within two weeks of onset) compared with those undergoing delayed surgical treatment (atfer two weeks of onset), and the time of antibiotic administration, overall length of hospital stay and total cost in cases undergoing surgical treatment during admission were signiifcantly reduced compared with those undergoing elective surgery (allP<0.05). <br> Conclusion: Biliary tract surgery in ABP patients should be tailored according to patient’s specific condition, which should be performed during the time of same admission and early atfer onset for mild cases, and in severe cases, it should be performed as soon as possible atfer the relief of the overall conditions by non-surgical treatment. Emergency surgery or ERCP should be performed for those with biliary obstruction or cholangitis regardless of mild or severe presentation.关键词
胰腺炎/胆道疾病/胆结石/外科手术Key words
Pancreatitis/Biliary Tract Diseases/Cholelithiasis/Surgical Procedures, Operative分类
医药卫生引用本文复制引用
朱永吉,谢坤,赵义军,孙昀,黄帆,耿小平..急性胆源性胰腺炎胆道疾病的外科处理[J].中国普通外科杂志,2016,25(9):1324-1330,7.基金项目
安徽省科学技术科技计划基金资助项目（1301042206）。 （）
