Effect of High-definition Laparoscopic Cholecystectomy Via Posterior Tri-angle Anatomical Approach of the Gallbladder in the Treatment of Acute Calculous Cholecystitis and Its Influence on Inflammatory Level and Gas-trointestinal Function of Patients
Objective To investigate the clinical effect of high-definition laparoscopic cholecystectomy via posterior triangle anatomical approach in the treatment of acute calculous cholecystitis.Methods The clinical data of 78 pa-tients with acute calculous cholecystitis admitted to the Department of General Surgery in Panyu Hospital of Tradi-tional Chinese Medicine of Guangzhou from April 2020 to January 2023 were retrospectively selected and divided into observation group(41 cases)and control group(37 cases)according to different surgical procedures.The observation group underwent high-definition laparoscopic cholecystectomy via posterior triangle anatomical approach,and the con-trol group underwent gallbladder triangle anatomical approach.The operation-related indicators,the level of inflamma-tory mediators,gastrointestinal function recovery time,gastrointestinal function rating,and incidence of complications were compared between the two groups.Results The incision length,operation time,intraoperative blood loss and hos-pitalization time of the observation group were better than those of the control group,and the differences were statisti-cally significant(all P<0.05).After operation,the levels of interleukin-6,tumor necrosis factor-α and C-reactive pro-tein in the observation group were lower than those in the control group,and the differences were statistically signifi-cant(all P<0.05).The recovery time of gastrointestinal function in the observation group was shorter than that in the control group,the difference was statistically significant(P<0.05).After operation,the gastrointestinal function grading of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications was 2.44%(1/41)in the observation group and 13.51%(5/37)in the control group,there was no significant difference between the two groups(χ2=1.981,P=0.159).Conclusion The overall effect of high-definition laparoscopic cholecystectomy via posterior triangle anatomical approach of the gallbladder in the treatment of acute calculous cholecystitis is significant,which can better control the level of inflammatory mediators in patients and accelerate the recovery of gastrointestinal function.
Acute calculous cholecystitisHigh definition laparoscopyLaparoscopic cholecystectomyInflammation levelGastrointestinal function
NETL
NSTL
万方数据
