Department of Biliary and Pancreatic Surgery, Affiliated Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 40030, Hubei, China.
Hepatic Surgery Center, Affiliated Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 40030, Hubei, China.
Int J Surg. 2018 Jun;54(Pt A):242-247. doi: 10.1016/j.ijsu.2018.04.027. Epub 2018 Apr 21.
Endoscopic therapy and surgery are both conventional treatments to remove pancreatic duct stones that developed during the natural course of chronic pancreatitis. However, few studies comparing the effect and safety between surgery drainage and endoscopic drainage (plus Extracorporeal Shock Wave Lithotripsy, ESWL).The aim of this study was to compare the benefits between endoscopic and surgical drainage of the pancreatic duct for patients with calcified chronic pancreatitis.
A total of 86 patients were classified into endoscopic/ESWL (n = 40) or surgical (n = 46) treatment groups. The medical records of these patients were retrospectively analyzed.
Pain recurrence and hospital stays were similar between the endoscopic/ESWL treatment and surgery group. However, endoscopic/ESWL treatment yielded significantly lower medical expense and less complications compared with the surgical treatment.
In selective patients, endoscopic/ESWL treatment could achieve comparable efficacy to the surgical treatment. With lower medical expense and less complications, endoscopic/ESWL treatment would be much preferred to be the initial treatment of choice for patients with calcified chronic pancreatitis.
内镜治疗和手术都是治疗慢性胰腺炎自然病程中形成的胰管结石的常规方法。然而，很少有研究比较手术引流和内镜引流（加体外冲击波碎石术，ESWL）之间的效果和安全性。本研究旨在比较钙化性慢性胰腺炎患者胰管内镜和手术引流的益处。
共 86 例患者分为内镜/ESWL（n=40）或手术（n=46）治疗组。回顾性分析这些患者的病历。
内镜/ESWL 治疗组和手术组的疼痛复发和住院时间相似。然而，与手术治疗相比，内镜/ESWL 治疗的医疗费用显著降低，并发症更少。
在选择性患者中，内镜/ESWL 治疗可达到与手术治疗相当的疗效。内镜/ESWL 治疗具有较低的医疗费用和较少的并发症，因此更适合作为钙化性慢性胰腺炎患者的初始治疗选择。
