• L Guibert, J C De Watteville, and F Gayral.
• Service de Chirurgie Générale et Digestive, CHU de Bicêtre, Le Kremlin-Bicêtre.
• Gastroen Clin Biol. 1995 Oct 1;19(10):747-50.

Objectives And MethodsTo evaluate the laparoscopic treatment of cholelithiasis in mild acute gallstone pancreatitis, 35 patients with gallstone pancreatitis and less than 4 Ranson's prognostic signs at 48 h were retrospectively included.ResultsEight patients underwent preoperative endoscopic retrograde cholangiopancreatography. Surgery was performed a median of 15 (range: 4-60) days after the onset of pancreatitis, and included laparoscopic cholecystectomy with intraoperative cholangiography that was successful in 30 out of 32 cases (93%). A common bile duct stone was present in 4 patients (11%). Conversion to open surgery was necessary in 3 patients (8%). Choledocholithiasis was successfully removed by laparoscopy in two cases, and by laparotomy and postoperative endoscopic sphincterotomy in one case each.ConclusionLaparoscopic treatment can be recommended as the primary treatment within a few days after the onset of mild gallstone pancreatitis.

28 keywords...

hide…