title: [Minimally invasive techniques in the treatment of acute biliary pancreatitis].
abstract: 43 cases of consecutive bilary acute pancreatitis were treated by early endoscopic sphincterotomy and laparoscopic cholecystectomy within first 48 hours after admission. The basic cause of disturbance of bile outflow was microlithiasis. Course of the disease was monitored by level of proinflammatory interleukins in the blood serum of analysed patients. Marked decrease of their level after endoscopic sphincterotomy was observed. This decrease was progressed after laparoscopic cholecystectomy followed by continuos closed lavage of abdominal cavity. Our results indicated that minimally invasive techniques should be done in the early stage of mild and moderate cases of acute biliary pancreatitis.
authors.affiliation: II Katedra Chirurgii Ogólnej Collegium Medicum Uniwersytetu Jagiellońskiego, 31-501 Kraków, ul. Kopernika 21.
authors.forename: Danuta
authors.initials: D
authors.lastname: Karcz
authors.forename: Józefa
authors.initials: J
authors.lastname: Panek
authors.forename: Mirosław
authors.initials: M
authors.lastname: Dolecki
authors.forename: Kazimierz
authors.initials: K
authors.lastname: Rembiasz
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Zajac
mesh_terms: D000208:Acute Disease; D015415:Biomarkers / Q000097:blood; D017081:Cholecystectomy, Laparoscopic; D006801:Humans; D007378:Interleukins / Q000097:blood; D019060:Minimally Invasive Surgical Procedures; D010195:Pancreatitis / Q000097:blood / Q000209:etiology / Q000601:surgery*; D010533:Peritoneal Lavage; D016717:Sphincterotomy, Endoscopic; D016896:Treatment Outcome
chemical_list: D015415:Biomarkers; D007378:Interleukins