Clinical observation on laparoscopic surgery via posterior cystohepatic triangle approach for cholecystolithiasis with chronic cholecystitis
Objective To explore the clinical effect of laparoscopic surgery via posterior cystohepatic triangle approach for patients with cholelithiasis and chronic cholecystitis. Methods 112 patients with cholecystolithiasis and chronic cholecystitis were divided into a control group and an observation group according to random numerical table,with 56 cases in each group. The control group underwent laparoscopic surgery via conventional cystohepatic triangle approach,while the observation underwent laparoscopic surgery via posterior cystohepatic triangle approach. The perioperative indicators,white blood cell count (WBC) and C-reactive protein (CRP) levels before and after surgery of the two groups were compared. Results The intraoperative blood loss of (27.50±7.35) ml in the observation group was less than (42.15±5.69) ml in the control group;in the observation group,the recovery time of intestinal function was (20.42±4.17) h,the length of hospital stay was (5.53±1.18) d,and the operation time was (24.39±3.13) min,which were shorter than (31.53±3.25) h,(7.58±2.52) d,and (38.63±2.41) min in the control group;the difference was statistically significant (P<0.05). At 3 d after surgery,the observation group had WBC of (8.39±0.37)×109/L and CRP of (8.20±0.37) mg/L,which were lower than (10.58±0.41)×109/L and (12.31±0.35) mg/L in the control group,and the differences were statistically significant (P<0.05). Conclusion For patients with cholecystolithiasis and chronic cholecystitis,posterior cystohepatic triangle approach can be considered during treatment,which has less intraoperative blood loss,faster intestinal function recovery,shorter length of hospital stay,and can reduce the damage to patients. It has high application value,and is worthy of further promotion.
Posterior cystohepatic triangle approachLaparoscopic surgeryCholecystolithiasis with chronic cholecystitisClinical effect
万方数据
维普
