Clinical analysis of laparoscopic cholecystectomy treatment for 82 cases of acute cholecystitis / 中国基层医药

ABSTRACT

Objective To explore the clinical advantages and curative effect of laparoscopic cholecystectomy for acute cholecystitis .Methods The clinical data of 178 cases with acute cholecystitis were retrospectively analyzed.82 cases underwent laparoscopic operation were selected as the laparoscopic group .96 patients underwent open operation treatment were selected as the open operation group .Results In the laparoscopic group ,82 cases were cured,78 cases were successfully completed laparoscopic cholecystectomy ,4 cases were converted to open surgery . The operation time,amount of bleeding,intestinal recovery time,bed time,hospitalization time in the laparoscopic group were (48.2 ±21.7)min,(55.3 ±10.3)mL,(3.2 ±1.4)d,(3.7 ±0.4)h,(6.7 ±0.4)d,which were signifi-cantly lower than (73.8 ±30.2)min,(97.8 ±19.4)mL,(5.4 ±1.3)d,(7.8 ±0.5)h,(11.8 ±1.5)d in the open operation group (t=3.307,2.806,2.582,3.203,2.931,all P<0.05).The incidence rate of complications in the laparoscopic group was 6.4%,which in the open operation group was 8.3%,the difference between the two groups was not statistically significant(χ2 =0.514,P=0.473).Conclusion Laparoscopic cholecystectomy in the treatment of acute cholecystitis is feasible ,safe,and effective,with a strong advantage .