Application Analysis of Laparoscopic Cholecystectomy for Mild Acute Cholangitis at Different Periods of Time
Objective:To analyze the application of laparoscopic cholecystectomy for mild acute cholangitis at different periods.Methods:60 patients with mild acute cholangitis admitted to the hospital from January 2018 to December 2021 were selected for the study,and they were divided into the early group(n=30)and the postponed group(n=30)according to the period of surgery.The early group underwent laparoscopic cholecystectomy after admission to the hospital,and the delayed group underwent laparo-scopic cholecystectomy after inflammation control.Postoperative visual analog pain(VAS)scores and liver function indices,including alanine aminotransferase(ALT)and total bilirubin(TBIL),were compared between the two groups.Results:Patients in the early group had longer time to first venting and postoperative hospitalization than those in the delayed group,and the difference was sta-tistically significant(χ2=3.475,P＜0.05;t=3.107,P＜0.05).At 3 d postoperatively,there was no statistically significant difference in ALT and TBIL levels between the two groups(t=0.853,0.361,P＞0.05).At 1 h and 12 h postoperatively,the VAS scores of patients in the early group were significantly lower than those in the postponed group,and the differences were statistically signifi-cant(t=3.417,5.068,P＜0.05).Conclusion:Compared with early laparoscopic cholecystectomy,extended laparoscopic cholecystec-tomy was more conducive to postoperative recovery in patients with mild acute cholangitis,but pain was more pronounced in the 12 h postoperative period.
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