Sequential ERCP and laparoscopy for acute biliary pancreatitis
2012
Objective To investigate the efficacy of sequential ERCP and laparoscopy for acute biliary pancreatitis (ABP). Methods A total of 80 patients with ABP were randomly divided into 2 groups to receive sequential ERCP and laparoscopy ( observation group, n = 40) or traditional surgery ( control group, n = 40). Clinical data including abdominal pain relief time, recovery time of white blood cell, blood amylase and liver function, hospital stay, complication rate and mortality were analyzed. Results ERCP failed in 1 patient in observation group , and the remaining 39 patients ( 97. 5% ) were recruited into the study. There were significant differences between 2 groups in regarding of abdominal pain relief time ( 7. 7 ± 2. 7 d vs. 11.4 +3.7 d), recovery time of white blood cell (9. 7 ± 2. 6 d vs. 13.3 ± 3.9 d), blood amylase ( 8.2 ± 2.1 dvs. 12.5±3.3 d), liver function (12.5±5.1 dvs. 21.3±6.5 d), hospital stay (16.1 ±5.1 dvs. 23. 3 ±7. 6 d) and rate of complication ( 12. 8% vs. 30. 0% ). There was no significant difference in morbidity between 2 groups (5. 1% vs. 7. 5% ). Conclusion Sequential ERCP and laparoscopy is effective for ABP.
Key words:
Pancreatitis ; Biliary tract ; Acute disease ; Duodenoscopes ; Cbolecystectomy, laparoscopic
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