Effect of Emergency Laparoscopic Cholecystectomy on Patients with Acute Cholecystitis
Objective To analyze the effect of emergency laparoscopic cholecystectomy (LC) on patients with acute cholecystitis (AC).Methods A total of 100 AC patients admitted to our hospital from November 2022 to November 2023 were selected as the research objects, and were divided into a control group and an observation group according to the random number table method, with 50 cases in each group.The control group underwent open cholecystectomy, and the observation group underwent emergency LC.The perioperative indicators, recovery of gastrointestinal function, levels of inflammatory factors and complications were compared between the two groups.Results The intraoperative blood loss of the observation group was (46.32±4.48)mL, which was less than (79.95±6.31)mL of the control group, the operation time was (62.21±3.69)min, the hospitalization time was (7.45 ±1.21)d, and the first exhaust time was (1.25 ±0.18)d, the postoperative eating time was (2.16±0.32)d, which were shorter than (78.63±4.28)min, (10.53±1.79)d, (2.41±0.39)d, (3.35±0.49)d in the control group, and the incidence of complications was 4.00％, which was lower than 16.00％in the control group, the differences between the two groups were statistically significant (P<0.05).In the observation group, the postoperative interleukin-6 was (218.95±16.35)pg/mL, C-reactive protein was (14.20±2.33)mg/L, tumor necrosis factor-α was (32.35±3.84)ng/L, which were lower than (267.89± 20.35)pg/mL, (16.74 ±2.88)mg/L, (39.83 ±4.24)ng/L in the control group, the differences between the two groups were statistically significant (P<0.05).Conclusion Emergency LC has the advantages of less trauma, shorter operation time, and lighter inflammatory reaction, which is conducive to the rapid improvement of gastrointestinal function after surgery, and has fewer complications.It has certain application value and is worthy of clinical application.
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