Incidence and influencing factors of diarrhea after minilaparotomy cholecystectomy among residents living in extremely high-altitude areas
10.3969/j.issn.1009-0754.2025.09.006
- VernacularTitle:特高海拔地区世居者小切口胆囊切除术后腹泻发生情况及影响因素分析
- Author:
Feifei YU
1
;
Yi XIE
;
Zhe LI
;
Duoji JIAYANG
;
Guangyong WANG
Author Information
1. 200433 上海,海军军医大学海军特色医学中心
- Keywords:
Extremely high altitude;
Plateau residents;
Minilaparotomy cholecystectomy;
Postoperative diarrhea
- From:
Journal of Navy Medicine
2025;46(9):893-898
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the diarrhea after minilaparotomy cholecystectomy among Tibetan residents in extremely high-altitude areas.Methods A retrospective analysis was conducted on the clinical data of 71 patients who underwent small incision cholecystectomy at the County People's Hospital during the period of medical aid(from June 2022 to December 2022).There were 38 patients(53.52%)with postoperative diarrhea and 33 patients(46.48%)without diarrhea.Results The duration of diarrhea was less than 1 week in 8 patients,ranged from 1 week to 3 months in 21 patients,and lasted for more than 3 months in 9 patients.There were significant differences between the two groups in terms of age(P<0.000 1),body mass index(P<0.000 1),proportions of patients with liver cirrhosis(P=0.012 9),history of acute cholecystitis(P=0.002 1),history of coronary heart disease(P=0.040 7),and presence of tenderness in the right upper abdomen during admission(P<0.000 1),white blood cell count(P=0.007 0),alanine aminotransferase(P=0.047 3),gallbladder diameter(P=0.003 4),gallbladder wall thickness(P=0.000 4),surgical duration(P=0.004 7),postoperative antibiotic use(P=0.000 6),postoperative hospital stay(P=0.000 2),and immediate resumption of butter tea(P<0.000 1).Age and immediate resumption of butter tea after surgery were independent risk factors for diarrhea after minilaparotomy cholecystectomy.Conclusion There is a higher incidence of diarrhea following small incision cholecystectomy in the residents of extremely high-altitude areas,which is associated with various factors such as the environment and lifestyle of the region.It is essential to enhance health education on gallstone and cultivate good personal health habits.Clinicians should conduct a detailed preoperative assessment.Patients should avoid drinking butter tea during perioperative period to avoid postoperative diarrhea.
