Study on the Advantages of Double-mirror Combined Cholecystolithotomy
Objective To explore the advantages of double-endoscope combined gallbladder-preserving lithotomy.Method From January 2018 to December 2021,60 patients with cholecystolithiasis who underwent laparoscopic cholecystectomy and 60 patients with cholecystolithiasis who underwent choledocholithiasis combined with double mirrors were selected as research objects,which were set as control group and observation group respectively.The clinical data of the two groups were analyzed retrospectively,and the stone re-moval rate,operation condition,postoperative pain score,postoperative inflammatory factor index,immune function index,postopera-tive complication rate,postoperative recovery time,hospitalization time and postoperative recurrence rate of the two groups were com-pared.Results The stone removal rate in the observation group was 100.00%,which was significantly higher than that in the control group(91.67%,P<0.05).The operation time of the observation group was longer than that of the control group(P<0.05),but the amount of bleeding in the observation group was less than that of the control group(P<0.05).The first exhaust time,the time of get-ting out of bed and the hospitalization time of the observation group were shorter than those of the control group(P<0.05).Compared with the control group from the 1st day to the 3rd day after surgery,the pain scores of the observation group were significantly lower(P<0.05),and the levels of C-reactive protein and interleukin-6 in the observation group were significantly lower(P<0.05).CD3+and CD4/CD8 in both groups were significantly lower than those before operation(P<0.05).After operation,CD3+and CD4/CD8 in the observation group were significantly higher than those in the control group(P<0.05).The incidence of postoperative complications in the observation group was 1.67%,which was significantly lower than that in the control group(11.67%,P<0.05).The recurrence rate of observation group was significantly lower than that of control group at 6 months and 12 months after operation(P<0.05).Con-clusion Compared with laparoscopic cholecystectomy,double-endoscope combined with gallbladder-preserving lithotomy can improve the minimally invasive operation,reduce the surgical trauma more effectively,reduce postoperative complications,speed up postopera-tive rehabilitation,and reduce residual stones,thus reducing postoperative recurrence.
万方数据
维普
