Influence of different operation opportunity on clinical effects of laparoscopic cholecystectomy in the treatment of patients with acute gallstone pancreatitis
10.3760/cma.j.issn.1008-6706.2017.16.015
- VernacularTitle:胆囊切除术不同手术时机对急性胆石性胰腺炎疗效的影响
- Author:
Jinjiang ZHAO
;
Wenqing HU
- Keywords:
Cholecystolithiasis;
Panceratitis;
Cholecystectomy;
laparoscopic
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(16):2456-2459
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the influence different of operation opportunity on clinical effects of laparoscopic cholecystectomy in the treatment of patients with acute gallstone pancreatitis.Methods A retrospective analysis was made on 93 patients with acute gallstone pancreatitis,laparoscopic cholecystectomy was performed in all patients.And the patients were divided into research group(early:within 48 h)and control group(delay:over 8 to 12 weeks)by operation opportunity.The operation index,biochemical index,quality of life,recurrence and complication occurrence between the two group were compared.Results There were no significant differences in the amount of blood loss and operation time between the two groups(t=0.332,0.486,all P>0.05).The hospital stay of the research group was lower than that of the control group[(11.43±2.65)d vs.(20.51±3.42)d],the difference was statistically significant(t=14.245,P<0.05).7 d after operation,the biochemical indicators of the two groups were all decreased,and had significant differences compared with 1 d after operation(t=17.184,35.209,12.018,7.452,16.045,36.124,12.337,7.038,all P<0.05).But there was no significant difference in biochemical index between the two groups at 7 d and 1 d after operation(t=0.431,0.663,0.664,1.118,0.085,0.156,0.283,0.262,all P>0.05).The life quality of the two groups were greatly improved after treatment,and had significant difference compared with before treatment(t=5.017,7.028,6.124,3.095,6.023,6.995,6.184,3.128,all P<0.05).There were no significant differences in the incidence rates of recurrence and complications(4.44% vs 2.08%,6.67% vs.10.42%)between the two groups(x2=0.412,0.081,all P>0.05).Conclusion Early laparoscopic cholecystectomy can shorten the length of stay in patients with acute gallstone pancreatitis ,and with good clinical effects and safety.
