Comparative Study of the Effect of Laparoscopic and Open Surgery on Acute Cholecystitis

  • Jian Lin
Keywords: Acute cholecystitis, Cholecystectomy, Laparoscope

Abstract

Objective: To compare the clinical effect of laparoscopic and open surgery on acute cholecystitis. Method: clinical data of 200 cases of acute cholecystitis patients in our hospital from July 2006 to July 2010 were divided into laparoscopic cholecystectomy(LC) group and open cholecystectomy(OC) group. Comparison was made from various aspects to show the feasibility of laparoscopic cholecystectomy of acute cholecystitis. Results: the operation time, off-bed activity time, postoperative gastrointestinal function recovery time and hospital stay time of LC group were all lower than OC group (t = 2.785, t = 2.825, t = 2.831, t = 2.904, p < 0.05); OC group’s postoperative complications was 23.0%, higher than that (9.0%) of LC group(χ2 = 3.764, p < 0.05). Conclusion: Under the chosen strict condition of surgical indications and delicate surgery operation, the application of laparoscopic cholecystectomy in the treatment of acute cholecystitis is safe and feasible.

References

1. Yu AJ, Zhang XJ, Wu SY, et al. Logistic analysis of acute cholecystitis laparoscopic cholecystectomy transfer laparotomy’s risk factors. Shandong Medical Journal. 2011;51(8) :62–63.
2. Zhang ZQ, Rong DQ, Dong Q, et al. Comparison analysis of acute cholecystitis laparoscopic and open operation. Journal of Clinical Hepatology. 2010;26(1):71–72.
3. Yang YQ, Zhou W, Lin MQ, et al. Laparoscopic gallbladder excision of 312 cases of acute cholecystitis. Journal of hepatopancreatobiliary surgery. 2010;22(3):213–215.
4. Song JN, Luo YZ, Hong M, et al. Clinical analysis of 130 cases of laparoscopic treatment of acute cholecystitis. Chongqing medicine. 2010;33(5):6, 553–554.
5. Sun HX, Wang YM, Deng YJ, et al. Laparoscopic cholecystectomy for acute cholecystitis. Chinese journal of Clinical Medicine. 2010;(6):845–846.
Published
2015-09-19
Section
Original Research Article