Abstract: Value of cholecystectomy in the treatment of biliary pancreatitis        ZHAO Hai-ying, LIU Jin-gang.Department of General Surgery, the Forth Affiliated  Hospital, China Medical University,Shenyang 110032,China 
Corresponding author: LIU Jin-gang, E-mail：liujg1347@sina.com
Abstract    Cholecystectomy is one of the most important methods in the treatment of biliary pancreatitis. In gallstone pancreatitis, cholecystectomy should be performed when the patient's physical conditions permit. For mild biliary pancreatitis, laparoscopic cholecystectomy should be performed as earlier as possible to reduce the recurrence of pancreatitis. A considerable number of patients with recurrent idiopathic pancreatitis are occult biliary pancreatitis. When the etiology is unknown, it is still uncertain whether cholecystectomy can be performed for recurrent idiopathic pancreatitis. It is suggested that follow-up should be strengthened to make sure whether there are gallstones. If the etiology is still unclear, cholecystectomy should be performed after full communication with patients.

Key words: cholecystectomy, biliary pancreatitis, occult biliary pancreatitis

摘要： 胆囊切除是胆源性胰腺炎非常重要的治疗手段之一。对于胆系结石引起的胆源性胰腺炎，且病人身体条件允许时，均应行胆囊切除术。轻症胆源性胰腺炎应早期行腹腔镜胆囊切除术，可减少胰腺炎的复发。反复发作的特发性胰腺炎中，相当一部分病人为隐匿性胆源性胰腺炎，病因不明时，可否行胆囊切除术，目前尚无定论，建议加强随访，争取明确有无胆囊结石，如仍不能明确病因，须与病人充分沟通后，再行胆囊切除术。

关键词: 胆囊切除, 胆源性胰腺炎, 隐匿性胆源性胰腺炎