RESUMO
[Objective]To discuss the clinical effect of laparoscopic common bile duct exploration(LCBDE)on acute biliary pancreatitis(ABP)induced by treating cholelithiasis. [Method] Select 68 cases of ABP having LCBDE induced with cholelithiasis as experimental group, and other 87 cases of open choledocholitho tomy T-tube drainage(OCTD) as control group;both had routine treatment before operation. Compare their operational time, bed time, post-operation gastro-intestinal recovery time, drainage tube removing time, time of leaving hospital, results of calculus removal and complications. [Result] In experimental group, the operational time was 115~205min,(143.62 ±28.73)min in average, both successful y finishing LCBDE, without conversion to open laparotomy. Calculus removal result: 61 cases were al removed the calculus in the bile duct, the T tube was removed 4w after operation; the remained calculus in 7 cases were removed completely after 6w through T tube sinus tract choledochoscope. In the control groups: the operation time was 120~150min,(135.07 ±15.01)min in average;79 cases had successful OCTD, other 8 cases ended the operation in advance over constitution and much bleeding in operation, and finished the calculus removal after 6w. On post-operational complication, the experimental group had no severe complications, however, there’re 10 cases with complications in control group; in fol owing up, the experimental group had no complications, but there’re 3 cases with complications in control one. Both groups had no statistical meaning for difference on operational time; on bed time, post-operational gastro-intestinal recovery time, drainage removal time, time leaving hospital and complications, the experimental group was markedly better than control one.[Conclusion] LCBDE phase-1 treating ABP induced by cholelithiasis is safe and available, with little trauma, quick recovery and good cure effect.