Comparison of the effects of modified two-port and traditional three-port laparoscopic cholecystectomy in the treatment of acute calculous cholecystitis
Objective To compare the effects of modified two-port and traditional three-port laparoscopic cholecystectomy(LC)in the treatment of acute calculous cholecystitis.Methods A total of 165 patients with acute calculous cholecystitis who underwent LC by the author from March 2017 to April 2022 were retrospectively selected.According to the number of surgical ports,and the patients were divided into modified two-port group(56 cases)and traditional three-port group(109 cases).Propensity score matching(PSM)was used to analyze the operation conditions and postoperative recovery of the two groups.Results A total of 49 pairs of patients were successfully screened by 1:1 nearest neighbor matching method.After PSM,there were no significant differences in the operation time,conversion to laparotomy rate and incidence of postoperative complications(bile leakage,incision bleeding)between the two groups(P>0.05);but the intraoperative blood loss and postoperative hospital stay in the modified two-port group were less than those in the traditional three-hole group,and the differences were statistically significant(P<0.05);there were no bile duct injury,postoperative abdominal bleeding or postoperative abdominal infection in both groups.Conclusion For the patients with acute calculous cholecystitis,modified two-port LC is a feasible and safe method.
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