早期和延迟腹腔镜胆囊切除术治疗急性胆囊炎伴轻度胰腺炎的临床疗效研究

doi:10.3969/j.issn.1001-8131.2023.06.006

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Abstract Objective To compare the clinical efficacy, safety and feasibility of early and delayed laparoscopy（LC）in the treatment of acute cholecystitis with mild pancreatitis. Methods Retrospective analysis was performed on 200 cases of patients diagnosed with acute pancreatitis and with complete course recordsand they were divided into observation group and control group according to random drawing, among which 100 patients underwent early laparoscopic cholecystectomy（observation group）.Among them, 100 patients（control group）underwent laparoscopic cholecystectomy after conservative treatment.The two groups were compared to convert to laparotomy（cases）, operation interval（days）, total hospital stay（days）, operation time（minutes）, postoperative complications（cases）, and preoperative biliary tract related events（cases）. Results There was no significant difference between the observation group and the control group（PBB0 0.05）.There were 4 cases of laparotomy, operation time（52.24± 6.39）min and 4 cases of postoperative complications.In the observation group, the operative interval（5.78± 0.96）days, the total hospital stay（8.51± 2.78）days and the occurrence of biliary tract related events occurred in 1 patient were significantly lower than those in the control group（41.25± 4.64）days, the total hospital stay（16.62± 2.02）days and the occurrence of biliary tract related events in 11 patients.The difference was statistically significant（P< 0.05）. Conclusion For acute cholecystitis with mild pancreatitis, the clinical effect of early LC is better than delayed LC in the same hospitalization.

Key words： acute cholecystitis Mild pancreatitis Early laparoscopic cholecystectomy Delayed laparoscopic cholecystectomy

Received: 10 December 2022

PACS:

R734.2

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	Wang Jinqiang

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Wang Jinqiang. Clinical Efficacy of Early and Delayed Laparoscopic Cholecystectomy in the Treatment of Acute Cholecystitis with Mild Pancreatitis[J]. journal1, 2023, 43(6): 15-16.

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http://www.hrbyybjb.org.cn/EN/10.3969/j.issn.1001-8131.2023.06.006 OR http://www.hrbyybjb.org.cn/EN/Y2023/V43/I6/15

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