Objectives: describing of the clinical and paraclinical features and surgical outcomes of 93 patients with acute pancreatitis due to gallstones at Viet-Duc Hospital 2007-2010. Patients and Methods. Retrospective descriptive study on the patients with gallstones pancreatitis being operated from 2007-2010 in Viet-Duc Hospital. Results and discussion: The average age: 54.42 + or - 17.67 years (range 19-89). Female: 63 patients (67.7 percent). Farmers: 44 patients (56.4 percent). Prehistory of gallstone surgery: 38 patients (40.9 percent). Pain in the right upper quadrant and epigastric region: 93 patients (100 percent), fever: 53 patients (57 percent), jaundice: 56\ patients (60.2 percent). The abdominal tenderness: 60 patients (64.5 percent). Mayo Robson' sign (+): 33 patients ,(35.5 percent). High serum amylase (more 6 times normal): 62.4 percent. High serum total billirubin: 87.8 percent . Ultrasound: oedematous pancreatitis, 26 patients (28 percent), gallstones: 93 patients (100 percent). E.coli is the most common (59.3 percent). Per operative lesions: CBD stones: '78 patients (83.9 percent). Pancreatic necrosis: 12 patients (17.4 percent). Operations: 78 patients (83.9 percent) were performed choledochotomy for removing biliary stones with T tube (+ or - cholecystectomy)
Opened capsule and drainage: 10 patients (10.8 percent). Results: The length of hospitalization: 11.5 + or - 4.61 days (range 3-29 days). Complications: 5 patients (no patients had reintervention). No cases were fatal or serious about applying. Conclusion: gallstones pancreatitis were common in the age 41-60 (39.8 percent). Common symptoms were right upper quadrant and epigastric pain (100 percent), fever (57 percent), jaundice (60.2 percent), abdominal wall defence (64.5 percent), Mayo Robson'sign (+): 35.5 percent. Amylase were higher 6 times (62.4 percent)
17.4 percent had pancreatic necrosis. Choledochotomy accounted for 83.87 percent
10.8 percent opened capsule and drainage. Low complication rate, no case was reopened and no deaths or serious about applying. Length of hospitalization after surgery: 11.35 + or - 4.61 days (3-29).