Effect of Laparoscopic Surgery with Different Approaches on the Recovery of Patients with Calculous Cholecystitis
Objective To compare the effects of different approaches of laparoscopic surgery on the recovery of patients with calculous cholecystitis(CC).Methods A total of 50 CC patients admitted to Jinan Gangcheng District People's Hospital and Jinan People's Hospital from July 2021 to July 2023 were selected as the research objects,and they were divided into a control group and an observation group according to the random number table method,with 25 cases in each group.The control group underwent laparoscopic surgery through the anterior gallbladder triangle approach,and the observation group underwent laparoscopic surgery through the posterior gallbladder triangle approach.The operation,postoperative recovery,inflammatory response,pain score and complications were compared between the two groups.Results The operation time was(47.65±4.89)min in the observation group,which was shorter than(61.04±6.32)min in the control group,and the intraoperative blood loss was(55.77±5.13)mL in the observation group,which was less than(82.96±7.15)mL in the control group,the differences between groups were statistically significant(P＜0.05);the postoperative intestinal function recovery and hospitalization time of the observation group were(1.29±0.24)d and(5.02±1.13)d,respectively,which were shorter than(1.87±0.29)d and(6.28±1.17)d of the control group,the differences between groups were statistically significant(P＜0.05);the levels of interleukin-6,high-sensitivity C-reactive protein and tumor necrosis factor-α in the observation group were(55.49±5.12)pg/mL,(14.64±1.33)mg/L and(45.63±4.12)pg/mL,respectively,the levels were lower than(62.74±5.28)pg/mL,(17.05±1.49)mg/L,(51.78±4.85)pg/mL of the control group,the differences between the groups were statistically significant(P＜0.05);at 6,12 and 24 hours after operation,the Visual Analogue Scale scores of pain in the observation group were(4.15±0.42)points,(3.53±0.34)points,(2.27±0.25)points,respectively,which were lower than(4.87±0.45)points,(4.13±0.41)points,(2.98±0.33)points in the control group,the difference between groups was statistically significant(P＜0.05);the incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion The effect of laparoscopic surgery in the treatment of CC is better,which can reduce surgical trauma,reduce postoperative pain score,avoid inflammatory overreaction,and has fewer complications.It is worthy of wide application.
NETL
NSTL
万方数据
