Abstract:Objective:To investigate the indications and appropriate method of early operative treatment of gallstone pancreatitis(GP).
Methods :The clinical data of 136 cases of GP that underwent early operation were retrospectively analyzed.
Results:(1) Among 10 cases with severe obstructive GP, 8 cases underwent early operation, and all of them were cured. (2) Among 70 cases with mild obstructive GP, 57 cases underwent early operation, and all of those cases were cured. （3）In 47 cases with severe non-obstructive GP, 13 cases underwent simple early operation, and 4 of those cases died of early multiple organ failure, while 3 other cases treated by regional intra-arterial infusion combined with early operation were cured. （4）In 146 cases with mild non-obstructive GP, 55 cases underwent early operation, and all of those cases were cured.
Conclusions:（1）Obstructive GP is an absolute indication for early operation, and the basic operation is decompression of biliary tract obstruction and peri-pancreatic drainage. （2）In principle, cases of severe non-obstructive GP should not undergo early operation. （3）Early operation might be carried out in cases of mild non-obstructive GP.