ASPECTS OF SURGICAL TREATMENT OF ACUTE BILIARY PANCREATITIS

Abstract

The paper presents a retrospective analysis of treatment of 221 patients with acute biliary pancreatitis. In case of stone embedding into the large duodenal papilla endoscopic papillotomy in the first hours is recommended, in case of choledocholithiasis, mechanical jaundice, cholangitis and acute biliary pancreatitis - endoscopic papillotomy and lithoextraction performed in the first day after the patient's admission to the clinic. Cholecystectomy, as a rule, laparoscopic, it is expedient to perform after conservative resolution of mild biliary pancreatitis in the next 3-7 days. After endoscopic papillotomy it is justified to perform cholecystectomy also without discharge from the hospital, if the procedure is performed without complications. In acute biliary pancreatitis complicated by sterile or infected fluid accumulations cholecystectomy should be postponed until their complete resolution and elimination of systemic inflammatory reaction.