[Biliary pancreatitis--timing of laparoscopic cholecystectomy].
OBJECTIVE
To analyse the time interval of ERCP and of laparoscopic cholecystectomy from the onset of the disease in the patients with biliary pancreatitis with regard to the whole time of the hospitalisation.


METHODS
From 1998 to 1999 patients with biliary pancreatitis were treated in the surgical department of the District hospital at Vsetín, 8 patients (20.5%) had a severe disease and 31 patients (79.5%) had a mild form of biliary pancreatitis according to APACHE II score.


RESULTS
ERCP was performed in 37 patients with biliary pancreatitis which proved choledocholithiasis in 27 patients, in these patients there was performed PST (papilosphincterotomy) with the follow-up extraction of lithiasis, after ERCP higher in 30 patients there was performed laparoscopic cholecystectomy on the average till the 9th day after the admitting to the hospital, in 5 patients classic cholecystectomy till the 10th day after the admitting, the whole time of the hospitalisation in the patients with biliary pancreatitis who were operated laparoscopically, lasted on the average 15 days, in the patients who were operated classically, it lasted 22 days.


CONCLUSIONS
Endoscopic treatment of the biliary tract with the follow-up LSK CHCE is recommended as treatment of choice in the patients with biliary pancreatitis.
Rohlík
P
P
Chirurgické oddĕlení ON, Vsetín.
Sankot
J
J
D000208:Acute Disease; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology*