关键词: 腹腔镜胆囊切除术, 引流管, 急性化脓性胆囊炎, 炎症

Abstract:

Objective To explore the eff ect of placing drainage tubes or not after laparoscopic cholecystectomy (LC) on the treatment of acute suppurative cholecystitis and its impact on traumatic inflammatory response. Method 86 patients with acute suppurative cholecystitis admitted between January 2022 and September 2023 were all treated with LC. They were divided into groups based on whether to place a drainage tube after surgery. Group A had 43 patients who did not place a drainage tube after surgery, while Group B had 43 patients who placed a drainage tube after surgery. The perioperative indicators, infl ammatory indicators, and postoperative complications between two groups were compared. Result The postoperative anal exhaust time, mobilization time, and hospitalization time of Group A patients were shorter than those of Group B, with signifi cant diff erences (P＜ 0.05). There was no signifi cant diff erence in preoperative C-reactive protein, white blood cell count, and interleukin-6 levels between the two groups of patients (P ＞ 0.05); 3 days after surgery, the levels of the above indicators in Group A were better than those in Group B, with signifi cant diff erences (P ＜ 0.05). The incidence of postoperative incision pain, infection, bile leakage, and shoulder pain in Group A patients was signifi cantly lower than that in Group B (P ＜ 0.05). Conclusion Patients with acute suppurative cholecystitis who undergo LC without placement of drainage tubes can shorten their postoperative recovery time and reduce the risk of complications.

Key words: Laparoscopic cholecystectomy, Drainage tube, Acute suppurative cholecystitis, Infl ammation