Effect of the Opportunity for Development of Laparoscopic Cholecystectomy on Patients with Gallstones Complicated with Acute Pancreatitis
Objective:To investigate the effect of the opportunity for development of laparoscopic cholecystectomy on patients with gallstones complicated with acute pancreatitis.Method:The clinical data of 86 patients with gallstones complicated with acute pancreatitis admitted to China Guihang Group 302 Hospital from January 2020 to December 2022 were retrospectively analyzed.According to the opportunity for development of LC,the patients were divided into observation group and control group,with 43 cases in each group.The control group received delayed LC,and the observation group received early LC.Perioperative indexes,postoperative recovery condition,serological indexes before and 3 d after surgery,quality of life before and 3 months after surgery and complications were compared between the two groups.Result:The duration of operation and hospitalization in the observation group were shorter than those in the control group,and the differences were statistically significant(P＜0.05).The first anal exhaust time,bowel sound recovery time and first defecation time in the observation group were earlier than those in the control group,and the differences were statistically significant(P＜0.05).At 3 d after surgery,alanine aminotransferase(ALT)and aspartate aminotransferase(AST)in the observation group were lower than those in the control group,and the differences were statistically significant(P＜0.05).At 3 months after surgery,the physiological,psychological,social and environmental scores of the observation group were higher than those of the control group,and the differences were statistically significant(P＜0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P＜0.05).Conclusion:Early LC treatment of gallstones combined with acute pancreatitis has better results,which can shorten the hospital time,and accelerate the recovery of postoperative gastrointestinal function,with fewer complications.
万方数据
维普
