Effect of open and laparoscopic cholecystectomy on postoperative intestinal adhesions / 中国基层医药

ABSTRACT

Objective To explore the impact of open and laparoscopic cholecystectomy of different operation methods on postoperative intestinal adhesions.Methods 128 patients with acute cholecystitis were randomly divided into the observation group (64 cases)and control group (64 cases).The control group was treated with open chole-cystectomy,the observation group was treated with laparoscopic cholecystectomy.The postoperative intestinal function, complications and intestinal adhesion were compared between the two groups.Results The bleeding amount,incision size,operation time of the observation group were (132.29 ±27.28)mL,(3.9 ±0.2)cm,(102.1 ±20.9)min,which were significantly better than those of the control group [(197.44 ±31.21 )mL,(15.4 ±2.3 )cm,(129.5 ± 30.6)min],the differences were statistically significant(t =12.574,38.850,5.915,P <0.05).The incision healing time,bowel sounds recovery time,exhaust time of the observation group were (8.65 ±0.75)h,(23.63 ±5.14)h, (31.65 ±10.71)h,which were significantly shorter than those of the control group [(13.27 ±1.18)h,(36.17 ± 7.14)h,(46.35 ±13.36)h],the differences were statistically significant (t =26.434,11.403,6.868,all P <0.05).The length of hospital stay and hospitalization expenses of the observation group were (3.9 ±1.6)d,(9 830 ± 840)RMB,which were significantly less than those of the control group [(5.7 ±2.4)d,(1 2876 ±703)RMB](t =4.992,22.247,all P <0.05).Conclusion Laparoscopic cholecystectomy can not only reduce intraoperative bleed-ing volume and operation time,promote postoperative intestinal function recovery,but also can save the cost of hospi-talization,reduce complications and the incidence of intestinal viscosity.Security is good,it is recommended.