Comparative analysis between laparoscopic surgery and laparotomy in the treatment of acute gangrenous cholecystitis

doi:10.3877/cma.j.issn.1674-6899.2016.03.004

Abstract

Abstract:

Objective

To compare the superiority between laparoscopic surgery and laparotomy in treating acute gangrenous cholecystitis.

Methods

The 84 patients with acute gangrenous cholecystitis were collected from Jan. 2010 to Oct. 2015, which were divided into LC group (53 cases) and OC group (31 cases). The intraoperative and postoperative situations of the two groups were compared.

Results

All the 84 patients were operated successfully. No difference existed in operation time and costs(P>0.05), but the difference in amount of intraoperative bleeding[(86.7 ±12)ml vs (120.4 ± 18) ml], length of incision[(3.1 ± 0.4)cm vs (13.2 ± 2.7)cm], pain rating index[(5.3 ± 2.1) marks vs (8.6 ± 1.9) marks], intestinal function recovery time[(20.6 ± 6.5) h vs (34.5 ± 4.7) h], wound infection rate (1.8% vs 12.9%), hospital stay time[(7.6 ± 1.8) d vs (13.4 ± 4.8)d] and changes of serum bilirubin level was statistically significant (P<0.05), The LC group was better than OC group.

Conclusions

Under the strict selection of operation indications and premise surgery operation, LC in treating acute gangrenous cholecystitis has short hospitalization time and low cost of hospitalization.

Key words: Acute gangrenous cholecystitis, Laparoscopic cholecystectomy, Open cholecystectomy, Comparative effectiveness research

Zhipeng Zhou, Xianglong Tan, Chenggang Li, Zhiming Zhao, Dadong Wang. Comparative analysis between laparoscopic surgery and laparotomy in the treatment of acute gangrenous cholecystitis[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2016, 09(03): 139-141.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2016.03.004

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2016/V09/I03/139

Figures/Tables 2

References 15

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项目	LC组(53例)	OC组(31例)	P值
手术时间(h)	2.0±0.6	2.2±0.7	0.29
术中出血量(ml)	86.7±12.0	120.4±18.0	<0.05
切口长度(cm)	3.1±0.4	13.2±2.7	<0.05
术后8 h疼痛评分(分)	5.3±2.1	8.6±1.9	<0.05
术后排气时间(h)	20.6±6.5	34.5±4.7	<0.05
切口感染率(%)	1.8	12.9	<0.05
住院时间(d)住院费用(元)	7.6±1.814 380.2±843.1	13.4±4.814 830.4±444.8	<0.050.58

项目	LC组(53例)	OC组(31例)	P值
手术时间(h)	2.0±0.6	2.2±0.7	0.29
术中出血量(ml)	86.7±12.0	120.4±18.0	<0.05
切口长度(cm)	3.1±0.4	13.2±2.7	<0.05
术后8 h疼痛评分(分)	5.3±2.1	8.6±1.9	<0.05
术后排气时间(h)	20.6±6.5	34.5±4.7	<0.05
切口感染率(%)	1.8	12.9	<0.05
住院时间(d)住院费用(元)	7.6±1.814 380.2±843.1	13.4±4.814 830.4±444.8	<0.050.58

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