Early versus delayed single-stage laparoscopic eradication for both gallstones and common bile duct stones in mild acute biliary pancreatitis.

摘要: Several studies addressed that preoperative endoscopic retrograde cholangiopancreatography (ERCP) for common bile duct (CBD) clearance, followed by interval laparoscopic cholecystectomy (two-stage approach), constitutes the most practice in cases of uncomplicated mild acute biliary pancreatitis. Between June 1998 and December 2002, 44 patients (35 females 9 males with a median age 62 years) suffering from pancreatitis were treated our unit. All electively submitted to surgery after subsidence symptoms, definitive treatment we favored single-stage management, avoiding ERCP. underwent plus fluoroscopic intraoperative cholangiogram (IOC). If filling defect(s) detected IOC, finding suggestive concomitant choledocholithiasis, exploration (LCBDE) was added same sitting. Twenty operated upon within 2 weeks since attack symptoms constitute early group (n = 20), whereas 24 an operation later on delay 24). We retrospectively compare safety, effectiveness, outcome management between two groups patients. Laparoscopic alone constituted 38 patients, while additional LCBDE performed remaining 6 (14%), all operations achieved laparoscopically. There no statistically significant difference terms operative time, incidence morbidity rate, postoperative hospital stay. During follow-up, none experienced recurrent In cases, ERCP, can be safely during admission, improvement local inflammation. Postoperative ERCP should selectively used whom method failed resolve problem.