[Timing of surgical treatment for gallstone pancreatitis].
OBJECTIVE
To evaluate the timing of surgery in the treatment of gallstone pancreatitis (GP).


METHODS
The records of 53 patients with GP were retrospectively analysed.


RESULTS
The morbidity and mortality of early surgical treatment (less than 48 hours after admission) were 29.20% and 9.30%, respectively, in contrast to 3.50% and 0 in patients who underwent delayed surgical treatment (more than 48 hours after admission) (P < 0.05). In mild gallstone pancreatitis (APACHE-II <or= 8), timing of surgery appeared to have little effect on outcome. However, the rates of common bile duct exploration and the morbidity were 91.70% and 11.10% in the patients receiving early surgery, significantly higher than those (62.10% and 0) in the patients receiving delayed surgery. In severe gallstone pancreatitis patients (APACHE-II > 8), the timing of surgery was related to the morbidity and mortality, namely, they were higher in early surgery than in delayed surgery.


CONCLUSIONS
We suggest delayed surgical treatment for mild gallstone pancreatitis, and delayed and selective surgery for severe gallstone pancreatitis.
Qin
R
R
Department of Surgery, Tongji Hospital, Tongji Medical University, Wuhan 430030.
Zou
S
S
Wu
Z
Z
Qiu
F
F
D005260:Female; D042882:Gallstones / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D012189:Retrospective Studies; D015996:Survival Rate; D013997:Time Factors; D016896:Treatment Outcome