Abstract:Objective:To study the selection of method and timing of operation in the treatment of acute biliary pancreatitis(ABP)
Methods :The clinical records of 236 cases of ABP from our hospital were reviewed and analyzed.
Results:All types of ABP underwent early or delayed operation, respectively.Mild pancreatitis patients were cured and discharged. For severe acute pancreatitis with bile duct obstruction, early surgery had no mortalily, but delayed operation mortality was 14.29%（1/7）. The mortality in patients with severe pancreatitis without bile duct obstruction who underwent early operation was 7.14%(1/14), and for those who had delayed operation was 14.29%(1/7). The complicalion score between the various groups was not statistically significant (P>0.05). The mortality rate for early operation of fulminant pancreatitis was 20.00%(1/5), and another case died after delayed operation.
Conclusions:In cases of ABP, early operation should be performed after aggressive non-surgical treatment for 24-48 h. Selection of operative method, according to the patient′s condition, can improve cure rate and decrease mortality rate.