Résumé
For answering the question of whether the operation of cholecystolithotomy with gallbladder conservation is popular in overseas, the author made a literature review.It was found that in the past 340 years'' clinical practice in western countries, the research on preservation of gallbladder has been persisted till now.Many methods have been created with certain effects and at the same time some problems.Further studies are needed.
Résumé
Objective To investigate the effect and safety of flurbiprofen axetil preemptive analgesia for patients undergoing laparoscopic cholecystotomy. Methods Sixty patients of ASA I- II undergoing selective laparoscopic cholecystotomy were randomly assigned to two groups: either to receive flurbiprofen axetil100 mg (flurbiprofen axetil group, n=30)or normal saline 10 mL (control group, n=30) before operation. Postoperative pain was treated by patient-controlled intravenous fentanyl analgesia. The extubation time, recovery time, and sedation-agitation scale (SAS) scores were estimated immediately after anesthesia. Postoperative fentanyl doses, side effects and the visual analgesia scale scores were recorded at 0, 2, 4, 6, 12, and 24 h after operation. Results The SAS score, VAS scores immediately after extubation and at different time points after operation in flurbiprofen axetil group were significantly lower than those in control group CP<0. 05). The flurbiprofen axetil group had significantly lower total dose of fentanyl (0-24 h after surgery) and significantly less nausea and vomiting than the control group CP< 0. 05). There were no significant differences in the extubation time and recovery time between the two groups. Conclusion Flurbiprofen axetil preemptive analgesia can alleviate acute postoperative pain of laparoscopic cholecystotomy, with no obvious adverse effect and without increasing the recovery time, making it worth popularizing in clinical practice.
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Objective To study the effects of treating cholecystotomy syndrome with LiDan decoction. Methods All patients were recruited into a control group and a treatment group, with 50 patients in each group. The treatment group was taken with LiDan decoction orally, and the control group was treated with conventional western medicines. Results The total effective rate of the treatment group and the control group was 92.0% and 80.0% respectively, showing significant difference. Conclusion It was effective to treat cholecystotomy syndrome With LiDan decoction.