Effectiveness and clinical utility of fluoroscopic laparoscopy for gallbladder triangle identification during cholecystectomy
Objective To investigate the efficacy and clinical application of fluorescence laparoscopic guidance for gallbladder tri-angle identification in laparoscopic cholecystectomy(LC).Methods A total of 400 patients who underwent laparoscopic cholecystecto-my(LC)between January 2020 and December 2022 were randomly selected and divided according to the surgical protocol into an ob-servation group(identification of gallbladder triangle with fluorescent LC,200 patients)and a control group(conventional LC,200 pa-tients).Clinical effects were compared between the two groups.Results There was no significant difference in hospital stay,operation and extubation time,or intraoperative blood loss between the two groups(t=0.617,1.245,1.068,and 0.670,respectively;P>0.05).The levels of alanine and aspartate aminotransferase(ALT and AST)after operation were higher than those before operation in both groups(t=0.122,0.099;P<0.05);Postoperative ALT and AST levels were not statistically significant between the two groups(t=0.405,0.764;P>0.05).The incidence of postoperative complications in the observation group was lower than that in the control group(x2=4.114,P＜0.05).Conclusions Fluoroscopic laparoscopic guidance in LC helps the operator to accurately identify the gallbladder triangle and elevate patient surgical safety,but fluoroscopic laparoscopy has no significant effect on LC surgical efficiency,intraopera-tive blood loss,extubating and hospital stay,alt,AST.
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