Application of laparoscopic cholecystectomy using the technique of nonseparation and non-disconnection of the trunk of the cystic artery in the treatment of acute calculous cholecystitis
LI Zheng-chen1 LIU Yang-sui2 ZHANG Xin-hui2
1.School of Postgraduates,Xuzhou Medical University,Jiangsu Province,Xuzhou 221004,China;
2.Department of Hepatobiliary Surgery,Xuzhou Central Hospital,Jiangsu Province,Xuzhou 221002,China
Abstract：Objective To investigate the safety and clinical efficacy of laparoscopic cholecystectomy using the technique of non-separation and non-disconnection of the trunk of the cystic artery in the treatment of acute calculous cholecystitis.Methods From October 2015 to March 2017,the clinical data of 84 patients undergone laparoscopic cholecystectomy due to acute calculous cholecystitis in our hospital were retrospectively analyzed.The age,sex,operation time,intraoperative amount of bleeding,hospital stay after surgery,and occurrence of postoperative complications were extracted.In observation group(n=42),laparoscopic cholecystectomy using the technique of non-separation and non-disconnection of the trunk of the cystic artery was adopted,while in the control group(n=42),regular laparoscopic cholecystectomy was used.Results Patients in the two groups were all successfully finished the operation without transfering to laparotomy.There was no significant difference in age，sex，operation time,or hospital stay after surgery between the two groups(P＞0.05).The bleeding during surgery in the observation group was less compared with that in the control group(t=4.75,P＜0.05）.The total incidence of postoperative complications was significantly lower in the observation group in comparison with that in the control group(t=7.26,P＜0.05）.Conclusion Application of laparoscopic cholecystectomy using the technique of non-separation and non-disconnection of the trunk of the cystic artery to treat acute calculous cholecystitis can effectively reduce the occurrence of bleeding during and after surgery as well as postoperative complications,which is worthy of promotion in clinic.
李正臣;刘养岁;张昕辉. 不分离离断胆囊动脉主干的腹腔镜胆囊切除术在急性结石性胆囊炎治疗中的应用[J]. 中国当代医药, 2017, 24(28): 18-20.
LI Zheng-chen;LIU Yang-sui;ZHANG Xin-hui. Application of laparoscopic cholecystectomy using the technique of nonseparation and non-disconnection of the trunk of the cystic artery in the treatment of acute calculous cholecystitis. 中国当代医药, 2017, 24(28): 18-20.
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