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首页> 外文期刊>Asian journal of surgery >Can the timing of laparoscopic cholecystectomy after biliary pancreatitis change the conversion rate to open surgery?
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Can the timing of laparoscopic cholecystectomy after biliary pancreatitis change the conversion rate to open surgery?

机译：胆源性胰腺炎后腹腔镜胆囊切除术的时机能否改变开腹手术的转化率？

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Summary Background Biliary pancreatitis (BP) constitutes 30–55% of all cases of acute pancreatitis. Laparoscopic cholecystectomy (LC) has become the gold standard for the surgical treatment of gallbladder disease. We aimed to compare and evaluate the relation between the timing of LC and the rates and reasons of conversion to open surgery (OS) after BP. Methods Data were collected of patients who presented for the first time with acute BP and underwent LC. The patients were divided into two groups: early cholecystectomy (Group 1), patients who underwent cholecystectomy during the first pancreatitis attack upon admission and before discharge from hospital (1–3 days); and late cholecystectomy (Group 2), patients who received medical treatment during their first pancreatitis episode and underwent surgery after 4–10 weeks. Sex, Ranson scores, American Society of Anesthesiology scores, and conversion reasons were compared. Results Group 1 and Group 2 included 75 patients (20 men, 55 women) and 87 patients (25 men, 62 women), respectively. The mean age was 44.7 years (range, 21–82 years). Obscure anatomy with adhesions was detected in 16 patients (5 in Group 1, 11 in Group 2) as the leading cause of conversion to OS, but it was not statistically significant ( p = 0.054). Acute inflammation with empyema and peripancreatic liquid collection was observed in 14 patients (12 in Group 1, 2 in Group 2), and conversion to OS was statistically significantly higher in Group 1 ( p = 0.016). Conclusion Timing of LC does not influence the conversion rates to OS after BP.
机译：摘要背景胆源性胰腺炎（BP）占所有急性胰腺炎病例的30-55％。腹腔镜胆囊切除术（LC）已成为外科手术治疗胆囊疾病的金标准。我们的目的是比较和评估LC时机与BP后转换为开放手术（OS）的速率和原因之间的关系。方法收集首次出现急性BP并接受LC的患者的数据。将患者分为两组：早期胆囊切除术（第1组），入院时和出院前（1-3天）第一次胰腺炎发作期间接受了胆囊切除术的患者。和晚期胆囊切除术（第2组），在首次胰腺炎发作期间接受药物治疗并在4-10周后接受手术的患者。比较了性别，Ranson评分，美国麻醉学会评分和转换原因。结果第1组和第2组分别包括75例患者（20例男性，55例女性）和87例患者（25例男性，62例女性）。平均年龄为44.7岁（范围21-82岁）。在16例患者（第1组中有5例，第2组中有11例）中发现有隐匿的粘连解剖是转换为OS的主要原因，但在统计学上无统计学意义（p = 0.054）。在14例患者中观察到有脓胸和胰周液收集的急性炎症（第1组中有12例，第2组中有2例），第1组中向OS的转化率在统计学上显着更高（p = 0.016）。结论LC的时间不影响BP后向OS的转化率。

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