International Journal of Clinical Research. 2021; 5: (1) ; 10.12208/j.ijcr.20210005.
At the end of December 2019, The epidemic of the novel coronavirus (2019-nCoV)-associated pneumonia was raging in Wuhan,China. And even now the epidemic spread rapidly around the world. With the deepening of the understanding of novel coronavirus, the diagnosis and treatment also achieved a stage victory.Because novel coronavirus was a brand new virus, all mankind didn’t have immunity universally. Prevention and treatment was big challenge.Acute obstructive cholangitis was one of the most mortal surgical emergencies. Failure to diagnose and treat in time could lead to septic shock and even death. At present, the elderly patients were often combined with other diseases, which made it difficult to face in perioperative treatment. Moreover, during the special period of the outbreak of the epidemic, some patients were unwilling go to the doctor until their illness developed seriously. Acute obstructive cholangitis must be treated urgently. In the special period of outbreaks, detailed medical history investigation must eliminate COVID - 19 patients.（Encoscopic Retrograde CholangioPancreatography, ERCP) identified etiology (gallstones or tumors), drain the bile duct was done to reduce inflammatory response syndrome following the concept of fast track surgery. At the same time, physicians, anesthesiologists and nursing staff must strictly comply with the relevant protection laws or regulations and avoid adverse events.