Abstract:

Objective To investigate the effect of laparoscopic cholecystectomy through different anatomical approaches of gallbladder triangle in the treatment of cholecystolithiasis with chronic cholecystitis. Method From June 2020 to December 2021, 150 in-patients with gallstones and chronic cholecystitis admitted to Xinghua Hospital of Traditional Chinese Medicine were selected. They were randomly divided into the control group (n=75) and the observation group (n=75). The patients in the control group used the triangular approach to the gallbladder, and the patients in the observation group used the posterior triangular approach to the gallbladder. Compare the levels of C-reactive protein (CRP), tumor necrosis factor (TNF)-α, interleukin-6 (IL-6) before and after treatment between two groups of surgical related indicators, as well as the incidence of complications and conversion to open surgery. Result The surgery time, gastrointestinal function recovery time, and hospitalization time of the observation group patients were shorter than those of the control group, and the bleeding volume was smaller than that of the control group, with significant differences (P ＜ 0.05). After surgery, the average levels of CRP, TNF-α, and IL-6 in the observation group were lower than those in the control group, and the incidence of complications and conversion to laparotomy were also lower than those in the control group, with significant differences (P＜0.05). Conclusion Laparoscopic cholecystectomy for the treatment of gallstones with chronic cholecystitis can reduce the injury of patients, help patients recover, reduce the inflammatory reaction of the body, and reduce the risk of complications and conversion to laparotomy.

Key words: Gallstone, Laparoscopy, Cholecystitis, Posterior triangular dissection approach, Complications