关键词: 腹腔镜胆囊切除术, 经胆囊后三角入路, 经胆囊板入路, 疼痛, 并发症

Abstract:

Objective To compare the clinical outcomes of laparoscopic cholecystectomy through the posterior triangle approach and the gallbladder plate approach. Method 96 patients with gallstones and chronic cholecystitis who were scheduled to undergo laparoscopic cholecystectomy treatment at the Huishan District Second People’s Hospital in Wuxi City from January 2020 to October 2023 were selected and divided into Group A and Group B using the odd even method, with 48 patients in each group. Group A underwent laparoscopic cholecystectomy via the posterior triangle approach, while Group B underwent laparoscopic cholecystectomy via the gallbladder plate approach. Observe and compare the surgical time, gastrointestinal function recovery time, hospitalization time, intraoperative blood loss, postoperative pain at 12 hours and 24 hours between two groups of patients, and also compare the incidence of postoperative complications between the two groups of patients. Result The surgical time, gastrointestinal function recovery time, and hospitalization time of patients in group A were shorter than those in group B. The intraoperative blood loss and visual pain simulation score at 12 and 24 hours after surgery were lower than those in group B, and the diff erences were signifi cant (P ＜ 0.05). The incidence of postoperative complications in Group A was lower than that in Group B, and the difference was significant (P ＜ 0.05). Conclusion Compared with the gallbladder plate approach, laparoscopic cholecystectomy through the posterior triangle approach can shorten the patient’s surgery, hospitalization time, and gastrointestinal function recovery time, reduce intraoperative bleeding, lower patient pain, and lower the risk of postoperative complications.

Key words: Laparoscopic cholecystectomy, Posterior triangular approach through the gallbladder, Transgallbladder approach, Pain, Complication