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目的探讨急性胆源性胰腺炎(ABP)的手术时机和手术治疗方式。方法回顾分析112例ABP的临床资料。结果23例急诊手术,分别进行了内镜下Oddi括约肌切开取石+腹腔镜胆囊切除术、胆道探查+胰腺包膜切开引流,发生并发症5例,死亡2例。89例延期手术,分别进行了腹腔镜胆囊切除术、开腹胆囊切除术、胆囊切除术+胆总管探查、胆囊切除+胆总管探查+左肝外叶切除、胆囊切除+胰腺假性囊肿内引流术,未发生严重并发症。结论ABP首选非手术治疗,延期手术较急症手术有更大的安全性。
Objective To investigate the timing and surgical treatment of acute biliary pancreatitis (ABP). Methods Retrospective analysis of 112 cases of ABP clinical data. Results Twenty-three patients underwent emergency surgery. The patients underwent endoscopic Oddi sphincterotomy and laparoscopic cholecystectomy, biliary exploration and pancreatic capsule dissection and drainage. Complications occurred in 5 and 2 died. 89 cases of delayed surgery, were performed laparoscopic cholecystectomy, open cholecystectomy, cholecystectomy + common bile duct exploration, cholecystectomy + common bile duct exploration + left hepatic resection, cholecystectomy + pancreatic pseudocyst drainage No severe complications occurred. Conclusion ABP preferred non-surgical treatment, delayed surgery than emergency surgery have greater safety.