Poncelet P
Can J Surg. 1978 Jan;21(1):58-9.
While there is general agreement on the indications for surgery in acute pancreatitis, the preferred operation is controversial and the approach ranges from one that is very conservative to one that is extremely aggressive. The author believes that in all cases the gallbladder should be opened to permit exploration and that cholangiography should be performed. If gallstones are discovered they should be removed and the organ drained; cholecystectomy is advised if the procedure is at all feasible. In a personal series of 50 cases of acute pancreatitis, 10 patients had early operation and 19 surgical procedures were performed.
虽然对于急性胰腺炎的手术指征已达成普遍共识，但首选的手术方式仍存在争议，其手术方式从非常保守到极其激进不等。作者认为，在所有病例中都应打开胆囊以便进行探查，并应进行胆管造影。如果发现胆结石，应将其取出并对器官进行引流；如果该手术可行，建议进行胆囊切除术。在作者个人收集的50例急性胰腺炎病例中，有10例患者接受了早期手术，共进行了19次外科手术。
