腹腔镜下经胆囊后三角解剖入路行胆囊切除术的有效性及安全性分析

Effect and Safety Analysis of Laparoscopic Cholecystectomy with Posterior Triangle Anatomy Approach

目的 分析腹腔镜下经胆囊后三角解剖入路行胆囊切除术的有效性及安全性。方法 抽选2018年6月-2022年5月在本院接受腹腔镜胆囊切除手术治疗的患者68例,以随机法将其划分为对照组(34例)与观察组(34例),对照组患者选择胆囊前三角解剖结构入路,观察组患者选择胆囊后三角解剖结构入路,记录对比各组患者手术及术后各项指标,观察统计各组患者出现并发症及中转开腹手术的概率。结果 观察组手术时长及术后恢复用时均短于对照组,同时术中出血量少于对照组(P<0.05)。此外,观察组患者发生胆管损伤、胆漏等并发症的总概率低于对照组(P<0.05),两组患者中转开腹手术发生率比较差异无统计学意义(P>0.05)。结论 临床腹腔镜胆囊切除术治疗可首选胆囊后三角解剖入路,可有效减少患者术中出血量,降低胆管损伤、胆漏发生率,促进患者术后恢复,安全性理想,值得推广。

Objective To analyze effect and safety of laparoscopic cholecystectomy with posterior triangle anatomy approach.Methods The paper chose 68 patients with laparoscopic cholecystectomy surgery in our hospital from June 2018 to May 2022,and divided them into control group(34 cases)and observation group(34 cases)randomly.Control group was treated with anterior triangular anatomy approach of gallbladder,while observation group with posterior triangular anatomy approach of gallbladder.Surgical and postoperative indicators of each group were recorded and compared,incidence of complications and conversion to open surgery in each group was observed and counted.Results Surgical duration and postoperative recovery time of observation group was shorter than control group,intraoperative bleeding volume was less than control group(P<0.05).In addition,total incidence of complications including bile duct injury and bile leakage in observation group was lower than control group(P<0.05),there was no statistically significant difference in incidence of conversion to open surgery between two groups(P>0.05).Conclusion Clinical laparoscopic cholecystectomy is the first choice for cholecystectomy,which can reduce bleeding amount of patients effectively,reduce incidence of bile duct injury and bile leakage and promote postoperative recovery of patients,which is safe and worthy of promotion.