The Effect of Laparoscopic Cholecystolithotomy in the Treatment of Patients with Gallstones
Objective To Explore the effectiveness of laparoscopic cholecystolithotomy(LRCL)in the treatment of patients with gallstones.Methods With the selection of 120 patients with gallstones admitted to the hospital from January 2019 to January 2022,they were randomly divided into the control group and the experimental group,by using a random number table method,with 60 cases in each group.The control group underwent laparoscopic cholecystectomy(LC),while the experimental group underwent laparoscopic cholecystolithotomy(LRCL).The success rate of lithotomy,intraoperative blood loss,operative time,postoperative exhaust time,length of hospital stay,and degree of pain before and 1,3,and 5 days after surgery[assessed by numerical rating scale(NRS)],stress response indicators[cortisol(COR),adrenaline(AD),adrenocorticotropic hormone(ACTH)]levels before and 5 days after surgery and the incidence of postoperative complications were compared Between the two groups.Results The success rates of lithotomy in both groups were 100%,with no residual stones and no conversion to open surgery.The amount of blood loss during operation in experimental group was less than that in control group,and the operation time,postoperative exhaust time and hospital stay were all shorter,with statistical significance(P<0.05).Before surgery,there was no statistically significant difference in NRS scores between the two groups(P>0.05);1,3,5 days after surgery,the NRS scores of both groups gradually decreased,and the NRS scores of the experimental group were lower than those of the control group at all time points,with statistical significance(P<0.05).Before surgery,there was no statistically significant difference in the levels of COR,AD,and ACTH between the two groups(P>0.05);After 5 days of surgery,the levels of COR,AD,and ACTH in both groups were higher than before surgery,but the experimental group was lower than the control group,and the difference was statistically significant(P<0.05).The total incidence of postoperative complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions The success rate of LRCL for patients with gallstones is comparable to that of LC,and it has advantages such as less intraoperative bleeding,shorter surgical time,faster postoperative exhaust,and shorter hospital stay.In addition,it can alleviate postoperative pain,reduce stress reactions,and decrease the incidence of complications.
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