Clinical observation of early laparoscopic cholecystectomy in the treatment of biliary pancreatitis
Objective To observe the clinical effect of early laparoscopic cholecystectomy in the treatment of biliary pancreatitis.Methods 80 patients with early biliary pancreatitis were randomly divided into a control group and a study group,with 40 cases in each group.The control group received delayed laparoscopic cholecystectomy,and the study group received early laparoscopic cholecystectomy.The length of hospital stay,operation time,intraoperative blood loss,quality of life score,recovery time of biochemical indexes and total complication rate were compared between the two groups.Results The length of hospital stay and operation time of the study group were(14.43±2.04)d and(53.21±7.42)min,which were shorter compared with(24.75±4.26)d and(63.14±7.39)min of the control group,and the difference was statistically significant(P<0.05).The intraoperative blood loss in the study group was less than that in the control group,but the difference was not statistically significant(P>0.05).The quality of life scores of physical function,social function,physiological function and emotional recovery in the study group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in recovery time of blood amylase,urine amylase,white blood cell count and liver function between the study group and the control group(P>0.05).The total complication rate of the study group was 5.00%,which was lower than 20.00%of the control group,and the difference was statistically significant(P<0.05).Conclusion In the treatment of biliary pancreatitis,early laparoscopic cholecystectomy has more advantages than delayed laparoscopic cholecystectomy,which can shorten the length of hospital stay,reduce the risk of complications,reduce medical costs,relieve pain and discomfort.However,the specific situation and condition of the patient need to be taken into account,and the doctor needs to make personalized treatment plans according to the practical situation of the patient.
万方数据
维普
