Abstract:ObjectiveTo discuss the effect of laparoscopic cholecystectomy in emergency and open cholecystectomy treating acute cholecystitis.MethodsClinical data of 120 cases with acute cholecystitis treated in general surgery department of our hospital from January 2013 to December 2016 were analyzed and they were divided into two groups by different operation methods:open group(open cholecystectomy in emergency,n=60)and laparoscopic group(laparoscopic cholecystectomy in emergency,n=60).The treatment condition,the total effective rate,the incidence of complications after operation in patients between the two groups were compared.ResultsThe operation time[(31.7±5.9)min],stomach intestine functional recovery time[(18.1±2.9)h]and hospital stays[(4.5±1.0)d]in laparoscopic group were shorter than those of open group[(63.5±10.2)min,(28.4±3.6)h,(9.5±3.4)d],intraoperatve blood soss[(55.9±7.5)ml]was fewer than that of control group[(136.8±16.7)ml](P<0.05).The total effective rate(100%)was higher than that of control group(80%),the incidence of complications after operation in laparoscopic group(6.7%)was lower than that of open group(20.0%),and the differences were statistical significance(P<0.05).ConclusionThe injury of laparoscopic cholecystectomy in emergency treating acute cholecystitis is little,recovery is good,prognosis is good.
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