Laparoscopic cholecystectomy appendectomy operation: clinical analysis of 76 cases / 中国基层医药

ABSTRACT

Objective To investigate the clinical effect of laparoscopic gallbladder surgery in 76 cases underwent appendectomy.Methods A retrospective analysis was conducted in 76 cases of gallbladder appendectomy (the observation group) and 23 cases over the same period received gallbladder laparotomy (the control group).The treatment effect,operative time,blood loss,postoperative discharge,hospitalization time and VAS pain score and so on were observed.Results The patients were successfully operated,17.1％ in the observation group used sedatives,fever 14.5％,antibiotic usage time was (3.5 ± 1.5)d,mean operative time was (51.5 ± 10.5)min,blood loss was (40.5 ± 10.5) ml,postoperative exhaust time was (13.5 ± 3.5) h,average length of stay was (4.5 ± 2.5) d,VAS pain score was (3.01 ± 0.55) points.Those in control group were 78.3％,65.2％,(6.5 ± 1.5) d,(65.5 ± 15.5) min,(90.5 ± 20.5) ml,(16.5 ± 4.5) h,(7.5 ± 2.5) d,(5.84 ± 0.82) points,the differences were statistically significant(x2 =30.7,23.5,t=19.9,10.7,32.1,7.46,11.9,42.0,all P＜0.01).Conclusion Laparoscopic cholecystectomy appendectomy surgical has less trauma,it can reduce patients'pain and shorten recovery time,which has positive clinical significance.