关键词: 复杂胆囊炎, 腹腔镜下胆囊切除术, 经皮经肝胆囊穿刺置管引流术

Abstract:

Objective To explore the feasibility and clinical application value of laparoscopic cholecystectomy in the treatment of complex cholecystitis. Method A retrospective analysis was conducted on the clinical data of 80 patients with complex cholecystitis admitted to Jimo People's Hospital Affi liated to Binzhou Medical College from March 2020 to March 2023. According to diff erent surgical methods, they were divided into a control group and an experimental group, with 40 cases in each group. The experimental group patients underwent laparoscopic cholecystectomy, while the control group underwent percutaneous transhepatic gallbladder puncture and drainage followed by laparoscopic cholecystectomy in the second phase during the same period. Compare the diff erences between two groups of patients in terms of surgical time, intraoperative bleeding, postoperative bile leakage, incision infection, residual bile duct stones, bile (intestinal) duct injury, treatment effectiveness, and length of hospital stay. Result There were no perioperative deaths in either group of patients. The experimental group had a longer surgical time and more surgical bleeding compared to the control group, with signifi cant diff erences (P ＜ 0.05). There was no signifi cant diff erence in the conversion rate to open surgery, intraoperative biliary injury rate, intestinal injury, postoperative hospital stay, and postoperative bleeding between the two groups of patients(P ＞ 0.05). Conclusion Laparoscopic cholecystectomy for complex cholecystitis can shorten the treatment cycle.

Key words: Complex cholecystitis, Laparoscopic cholecystectomy, Percutaneous transhepatic cholecystectomy with catheter drainage