Analysis of the Application Effect of Laparoscopic Cholecystectomy in Pa-tients with Liver Cirrhosis Complicated with Hepatobiliary Calculi
Objective To explore the therapeutic effect of laparoscopic cholecystectomy in patients with liver cirrhosis complicated with hepatobiliary calculi.Methods From July 2021 to July 2023,60 patients with liver cirrhosis compli-cated with hepatobiliary calculi admitted to Fuzhou Changle District People's Hospital were simple randomly selected as the research objects.According to the different treatment methods,they were divided into observation group and control group,30 cases in each group.The observation group was treated with laparoscopic cholecystectomy;the con-trol group was treated with small incision cholecystectomy.The operation related indexes,incidence of complications and quality of life scores were compared between patients in two groups.Results The operation time of the observation group was(93.64±5.64)min,the postoperative exhaust time was(1.14±0.42)d,the hospitalization time was(8.52±2.62)d,and the time of getting out of bed was(1.13±0.26)d,which were shorter than(120.25±4.52)min,(1.56±0.52)d,(11.54±3.64)d,(1.34±0.31)d of the control group,the differences were statistically significant(t=20.165,3.441,3.688,2.842,all P＜0.05);the amount of bleeding in the observation group was lower than that in the control group,and the difference was statistically significant(P＜0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P＜0.05).After 4 weeks of treatment,the quality of life score of the observation group was higher than that of the control group,and the difference was statis-tically significant(P＜0.05).Conclusion Compared with small incision cholecystectomy,laparoscopic cholecystectomy has the characteristics of less trauma and faster postoperative recovery in the treatment of patients with liver cirrhosis complicated with hepatobiliary calculi.It can reduce the incidence of complications and improve the quality of life.
万方数据
维普
