{"title":"早期和晚期腹腔镜胆囊切除术治疗急性胆源性胰腺炎的效果比较","authors":"Ebral Yiğit","doi":"10.36648/1590-8577.21.22.83-86","DOIUrl":null,"url":null,"abstract":"Aim In the treatment of acute biliary pancreatitis (ABP), a cholecystectomy is used to prevent acute pancreatitis recurrences. In this study, we aimed to compare the results of early and late-stage LC in patients hospitalized in our clinic with an ABP diagnosis. Material and Methods The patient group was comprised of 35 females (77.8%) and 10 males (22.2%). The 22 patients who underwent LC after ABP treatment were in Group 1, while the patients who were given a two-month interval after the ABP treatment and then underwent LC were in Group 2. Results The average age of the patients was 56 (range: 26–93) years. The average hospital stay was 13.18 days in Group 1 and 8.3 days in Group 2. The mean duration of LC was 57.8 minutes in Group 1 and 45.7 minutes in Group 2 (p < 0.01). The conversion to a conventional cholecystectomy was performed in three (13.6%) patients in Group 1 and two (8.7%) in Group 2. Postoperative complications were seen in four (18.1%) patients in Group 1 and four (17.4%) patients in Group 2. Acute pancreatitis was seen again in one (4.5%) patient in Group 1 and two (8.7%) patients in Group 2. Conclusion In this study, we showed that cholecystectomy surgery can be performed safely after the ABP picture regresses.","PeriodicalId":47280,"journal":{"name":"Journal of the Pancreas","volume":"22 1","pages":""},"PeriodicalIF":0.1000,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Comparison of Results from Early and Late Laparoscopic Cholestectomies in Acute Biliary Pancreatitis Treatment\",\"authors\":\"Ebral Yiğit\",\"doi\":\"10.36648/1590-8577.21.22.83-86\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Aim In the treatment of acute biliary pancreatitis (ABP), a cholecystectomy is used to prevent acute pancreatitis recurrences. In this study, we aimed to compare the results of early and late-stage LC in patients hospitalized in our clinic with an ABP diagnosis. Material and Methods The patient group was comprised of 35 females (77.8%) and 10 males (22.2%). The 22 patients who underwent LC after ABP treatment were in Group 1, while the patients who were given a two-month interval after the ABP treatment and then underwent LC were in Group 2. Results The average age of the patients was 56 (range: 26–93) years. The average hospital stay was 13.18 days in Group 1 and 8.3 days in Group 2. The mean duration of LC was 57.8 minutes in Group 1 and 45.7 minutes in Group 2 (p < 0.01). The conversion to a conventional cholecystectomy was performed in three (13.6%) patients in Group 1 and two (8.7%) in Group 2. Postoperative complications were seen in four (18.1%) patients in Group 1 and four (17.4%) patients in Group 2. Acute pancreatitis was seen again in one (4.5%) patient in Group 1 and two (8.7%) patients in Group 2. Conclusion In this study, we showed that cholecystectomy surgery can be performed safely after the ABP picture regresses.\",\"PeriodicalId\":47280,\"journal\":{\"name\":\"Journal of the Pancreas\",\"volume\":\"22 1\",\"pages\":\"\"},\"PeriodicalIF\":0.1000,\"publicationDate\":\"2021-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the Pancreas\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.36648/1590-8577.21.22.83-86\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"GASTROENTEROLOGY & HEPATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Pancreas","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.36648/1590-8577.21.22.83-86","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的在急性胆源性胰腺炎(ABP)的治疗中,采用胆囊切除术预防急性胰腺炎复发。在这项研究中,我们的目的是比较在我们诊所就诊的ABP诊断患者的早期和晚期LC的结果。材料与方法患者组女性35例(77.8%),男性10例(22.2%)。22例ABP治疗后行LC的患者为1组,ABP治疗后间隔2个月再行LC的患者为2组。结果患者平均年龄56岁(26 ~ 93岁)。组1平均住院时间13.18天,组2平均住院时间8.3天。LC的平均持续时间1组为57.8 min, 2组为45.7 min (p < 0.01)。1组3例(13.6%)患者转行常规胆囊切除术,2组2例(8.7%)患者转行常规胆囊切除术。术后并发症1组4例(18.1%),2组4例(17.4%)。1组1例(4.5%),2组2例(8.7%)再次出现急性胰腺炎。结论在本研究中,我们发现在ABP图像恢复后,可以安全地进行胆囊切除术。
A Comparison of Results from Early and Late Laparoscopic Cholestectomies in Acute Biliary Pancreatitis Treatment
Aim In the treatment of acute biliary pancreatitis (ABP), a cholecystectomy is used to prevent acute pancreatitis recurrences. In this study, we aimed to compare the results of early and late-stage LC in patients hospitalized in our clinic with an ABP diagnosis. Material and Methods The patient group was comprised of 35 females (77.8%) and 10 males (22.2%). The 22 patients who underwent LC after ABP treatment were in Group 1, while the patients who were given a two-month interval after the ABP treatment and then underwent LC were in Group 2. Results The average age of the patients was 56 (range: 26–93) years. The average hospital stay was 13.18 days in Group 1 and 8.3 days in Group 2. The mean duration of LC was 57.8 minutes in Group 1 and 45.7 minutes in Group 2 (p < 0.01). The conversion to a conventional cholecystectomy was performed in three (13.6%) patients in Group 1 and two (8.7%) in Group 2. Postoperative complications were seen in four (18.1%) patients in Group 1 and four (17.4%) patients in Group 2. Acute pancreatitis was seen again in one (4.5%) patient in Group 1 and two (8.7%) patients in Group 2. Conclusion In this study, we showed that cholecystectomy surgery can be performed safely after the ABP picture regresses.