胆囊结石合并急性胰腺炎腹腔镜胆囊切除术后急性胰腺炎复发临床分析  

Analysis of recurrent postoperative acute pancreatitis in gallbladder stones patients after laparoscopic cholecystectomy

作　　者：李波[1] 倪建彬[1] 罗亮[1] 徐松波[1] 苏松[1] 张孟瑜[1] 冯春红[1] 贺凯[1] 李秋[1] 黎靖[1] 夏先明[1] 雷正明[1] 

机构地区：[1]泸州医学院附属第一医院肝胆外科,四川省泸州市 646000

出　　处：《中国医药》2009年第4期296-297,共2页China Medicine

摘　　要：目的探讨胆囊结石合并急性胰腺炎实施腹腔镜胆囊切除术（LC）后复发急性胰腺炎的病因及手术时机。方法将329例胆囊结石合并急性胰腺炎患者按实施手术时间分为早期手术组和延期手术组，早期手术组184例，在胰腺炎控制后14d内同次住院期间实施LC；延期手术组145例，在胰腺炎缓解出院后8周至12个月实施LC。结果早期手术组有8例术后复发急性胰腺炎，复发率4．3％；延期手术组5例术后复发急性胰腺炎，复发率3．4％。2组复发率差异无统计学意义（P〉0．05）。结论胆总管细小结石是导致胆囊结石合并急性胰腺炎实施LC后复发急性胰腺炎的主要原因，早期实施LC是安全可行的。Objective To explore the timing of laparoscopic cholecystectomy （LC） and the causes of recurrent postoperative acute pancreatitis in gallbladder stone patients. Methods Three hundred and twenty nine gallbladder stones patients with acute pancreatitis were divided into two groups. 184 cases of early surgery group underwent LC in 14 days during the same hospitalization after pancreatitis had subsided. 145 cases of delayed surgery groups were performed LC between 8 weeks andl2 months after discharged with relieved pancreatitis symptoms. Results After LC, 8 cases suffered from recurrent acute pancreatitis in early surgery group and 5 cases of recurrent acute pancreatitis in delayed surgery group. Conclusion Small common bile duct stone is the main cause for recurrenct acute pancreatitis after LC, early laparoscopic cholecystectomy is safe and feasible in gallbladder stones with acute pancreatitis.

关 键 词：胆囊结石 急性胰腺炎 腹腔镜胆囊切除术 

分 类 号：R657.5[医药卫生—外科学]