Analysis Of Operation Timing Of LC For Gallstone Combined With Acute Pancreatitis

Objective:Cholecystolithiasis with acute pancreatitis(Acute pancreatitis,AP)is a common clinical situation.For these patients,laparoscopic cholecystectomy(Laparoscopic cholecystectomy,LC)is preferred.However,there is still no consensus on the timing of surgery.It is clinical The focus of physician debate.This article aims to explore the timing of LC operation in patients with gallstones and AP.Method:The choice of surgical timing is divided into early laparoscopic cholecystectomy(ELC)and delayed laparoscopic cholecystectomy(DLC).The traditional view leans towards DLC,but in clinical work,patients with delayed surgery are prone to gallstone complications.In recent years,more and more scholars have tended to a new viewpoint,namely ELC.This article starts from the aspects of surgical difficulty,surgical complications,hospitalization time and cost,etc.,through a summary and comprehensive analysis of relevant Chinese and foreign literature,and finally draws a conclusion.Result:For patients with gallstones with mild to moderate acute pancreatitis,ELC is safe and feasible,will not increase the difficulty of surgery,the incidence of surgical complications and aggravate the condition of pancreatitis,but also reduce the incidence of gallstone-related complications and shorten the length of hospitalization And reduce hospitalization costs.For patients with gallstones combined with severe acute pancreatitis(Severe acute pancreatitis,SAP),there are few related studies.Considering that the patients themselves have severe pancreatitis,and the risk of early surgery is high,it is recommended to delay the surgery after the patient’s condition is stable.Conclusion:For patients with gallbladder stones combined with mild to moderate acute pancreatitis,ELC is recommended;for patients with gallbladder stones combined with SAP,it is recommended to delay surgery after the patient’s condition is stable.