Abstract：Objective: To investigate the therapeutic effect of laparoscopic cholecystectomy in patients with acute biliary pancreatitis and the effect on serum amylase levels. Methods: A total of 133 patients with acute biliary pancreatitis who underwent laparoscopic cholecystectomy in our hospital from August 2017 to October 2020 were selected as the study subjects and divided into observation group (n=69, laparoscopic cholecystectomy performed within 5d of onset) and control group (N=64, surgery delayed). The surgical situations and clinical recovery of the two groups were compared, and the rate of complications and recurrence was recorded. Results: The observation group, compared with the control group, had shorter operation time (t=2.198, P=0.030), more intraoperative bleeding (t=2.275, P=0.025), and shorter hospital stay (t=16.865, P<0.001). The serum AMS recovery time, abdominal pain relief time and gastrointestinal ventilation recovery time in the observation group were shorter than those in the control group (t=8.269, 8.484, 7.490, P<0.001, 0.01, 0.001). There was no significant difference in the incidence of complications between the two groups (P>0.05). The recurrence rate of the observation group was lower than that of the control group one year after operation (χ2=4.250, P=0.039). Conclusion: Compared with delayed operation, early laparoscopic cholecystectomy for acute biliary pancreatitis can effectively relieve clinical symptoms, shorten operative time and total hospital stay, increase intraoperative bleeding without increasing the incidence of complications, and significantly reduce the recurrence rate of pancreatitis.
阮庆, 汪涛. 腹腔镜胆囊切除术对急性胆源性胰腺炎患者的治疗效果及对血清淀粉酶水平的影响[J]. 河北医学, 2022, 28(3): 437-440.
RUAN Qing, WANG Tao. Therapeutic Effect of Laparoscopic Cholecystectomy on Patients with Acute Biliary Pancreatitis and Its Influence on Serum Amylase Levels. HeBei Med, 2022, 28(3): 437-440.
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2022, Vol. 28 
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