Effect analysis of laparoscopic posterior triangular approach combined with passive cold separation in preventing biliary tract injury in laparoscopic cholecystectomy
Objective To analyze the effect of laparoscopic posterior triangular approach combined with passive cold separation in preventing biliary tract injury in laparoscopic cholecystectomy.Methods A total of 190 patients receiving laparoscopic cholecystectomy were selected.According to different surgical approaches,they were divided into a control group and an observation group,each with 95 cases.The control group was given cholecystectomy triangle approach,and the observation group was given laparoscopic posterior triangle approach combined with passive cold separation.The surgical indicators,inflammatory factors[C-reactive protein(CRP),interleukin-6(IL-6)],intestinal mucosal barrier function[serum cortisol(Cor),C-peptide(C-P),D-lactic acid]and complication rate were compared between the two groups.Results The observation group had operation time of(35.21±5.34)min,postoperative gastrointestinal function recovery time of(23.57±2.57)h,and hospital stay of(4.41±1.30)d,which were shorter than(62.10±6.57)min,(31.22±2.51)h,and(7.60±1.13)d in the control group;the observation group had less intraoperative blood loss of(36.17±5.69)ml than(50.22±6.88)ml in the control group(P<0.05).The complication rate of the observation group was 1.05%,which was lower than 7.37%of the control group,and the difference was statistically significant(P<0.05).3 d after surgery,the observation group had serum Cor of(214.11±14.09)ng/ml,C-P of(0.90±0.12)nmol/L,CRP of(8.71±0.50)mg/L,of IL-6(69.70±5.15)ng/L,and D-lactic acid of(20.70±2.41)μg/L,which were lower than(252.17±15.10)ng/ml,(1.23±0.30)nmol/L,(11.22±1.16)mg/L,(80.52±4.66)ng/L,and(29.55±2.67)μg/L in the control group.The difference was statistically significant(P<0.05).Conclusion In laparoscopic cholecystectomy,the application value of posterior triangle approach combined with passive cold separation approach is better than that of cholecystectomy triangle approach,which can prevent bile duct injury,reduce complications,optimize surgical indicators,alleviate stress reaction,and can be popularized.
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