Abstract:

Objective To evaluate the timing of surgery in the treatment of acute cholangitis of severe type(ACST). Methods The medical records of 52 patients with ACST were retrospectively analysed. Results The morbidity of post-operation complication and mortality of early surgical treatment (less than 8 h after admission) were 6.9% and 0, respectively, in contrast to 34.6% and 8.7% in patients who underwent delayed surgical treatment(more than 8 h after admission). The APACHE-Ⅱ, TB and DB in 24 h after operation, were lower in early surgery than in delayed surgery(P<0.05). Conclusion If the diagnosis of ACST is ascertained, we suggest that surgical treatment for ACST should be performed as early as possible.

Key words: acute cholangitis of severe type, operation, prognosis