关键词: 胆源性胰腺炎, 内镜, 胆囊切除术, 手术时机

Abstract: The timing and selection of surgical methods in the treatment of acute biliary pancreatitis        LU Tian-qi, SUN Bei.   Department of Pancreatic and Biliary Surgery, the First Affiliated Hospital of Harbin Medical University, Key Laboratory of Hepatosplenic Surgery（Ministry of Education）, Harbin 150001,  China
Corresponding author：SUN Bei，E-mail：sunbei70@tom.com
Abstract    Surgical intervention plays an important role in the treatment of acute biliary pancreatitis (ABP). In recent years, with the development of medical technology, the concept of surgical treatment of ABP has changed greatly, showing the characteristics of minimally invasive, individualized and professional. In the face of the complex condition of ABP, it is very important for surgeons whether, when and how to operate. However, there are still some differences in opinions at home and abroad. For ABP patients with cholangitis or biliary obstruction, early endoscopic retrograde cholangiopancreatography (ERCP) should be performed to relieve biliary obstruction and prevent the progression of ABP. However, routine early ERCP is not recommended for patients without cholangitis or biliary obstruction. It is suggested that cholecystectomy should be performed in the early stage of ABP to prevent recurrence of ABP. For patients with severe ABP, the operation should be delayed as far as possible, and the gallbladder should be resected when the condition is stable. Surgeons should follow the law of disease development and choose the right operation time and method according to different patients' conditions.

Key words: biliary pancreatitis, endoscopy, cholecystectomy, operation timing