Abstract:

Objective To evaluate the clinical efficacy and safety of laparoscopic cholecystectomy in the treatment of patients with gallstones and chronic cholecystitis. Method 82 patients with gallstones and chronic cholecystitis admitted to Jurong Maternal and Child Health Hospital from January 2023 to December 2024 were selected and randomly divided into two groups using a random number table. A control group of 41 cases were treated with traditional open abdominal surgery; Observation group of 41 cases, treated with laparoscopic cholecystectomy, compared the surgical indicators and postoperative complications of patients. Result The surgical time and hospitalization time of the observation group were shorter than those of the control group [(61.18±7.52) min vs. (93.35±10.86)min, and (4.31±1.28)d vs. (9.95±2.76)d, respectively]. The intraoperative blood loss was less than that of the control group [(38.91±5.67)ml vs. (90.38±10.46)ml], and the postoperative gastrointestinal function recovery time was earlier than that of the control group [(18.98±5.17)h vs. (42.25±8.92)h], with significant differences(P ＜ 0.001). There were no complications observed in the observation group; There were 5 cases of complications in the control group, including 1 case of abdominal infection, 2 cases of incision infection, and 2 case of bile leakage. There was a significant difference between the groups (χ2=7.318，P=0.017). Conclusion Compared with traditional open surgery, laparoscopic cholecystectomy has better efficacy and higher safety in the treatment of gallstones and chronic cholecystitis.

Key words: Gallstones, Chronic cholecystitis, Laparoscopic cholecystectomy