Abstract:
Objective
To explore the clinical efficacy of different laparoscopic cholecystectomies (LC)in the treatment of gallstone disease.
Methods
A total of 486 patients with gallstone disease who underwent LC from February 2023 to July 2023 were retrospectively selected. According to different surgical methods,they were divided into the three-port group (n=255, receiving three-port LC) and the two-port group (n=231,receiving two-port LC). The SPSS 25.0 statistical software was used to analyze the data. Enumeration data were expressed as［ cases (%)］, and χ2 tests were performed; Measurement data were expressed as (![]()
), and independent sample t tests were used for comparison between groups. P<0.05 was considered to indicate a statistically significant difference.
Results
Compared with the three-port group, the patients in the two-port group had less intraoperative blood loss, a longer operation time, and shorter postoperative exhaust time and hospital stay. The Visual Analogue Scale (VAS) scores of the patients in both groups at 24 hours and 48 hours after the operation were lower than those at 6 hours after the operation (P<0.05). Moreover, compared with the three-port group, the VAS scores of the two-port group at 6 hours, 24 hours, and 48 hours after the operation were lower (P<0.05). There were no significant differences in the incidence of intraoperative conversion to open surgery and the incidence of postoperative complications between the three-port group and the two-port group (P>0.05). After a 6-month follow-up, there were no significant differences in the levels of total bilirubin(TBIL) and alanine aminotransferase (ALT) between the two groups compared with those immediately after the operation, and there were no significant differences between the groups (P>0.05). The prognosis of the patients in both groups was good.
Conclusion
Both the two-port and three-port LC can meet the requirements for the radical surgery of gallstone disease. However, the two-port LC has the advantages of less blood loss and faster postoperative recovery, and causes less pain due to its smaller invasiveness. The two methods have similar incidences of complications and both have a good prognosis.
Key words:
Cholecystolithiasis,
Cholecystectomy, Laparoscopic,
Postoperative Complications,
Prognosis
Pan Li, Huaqin Zhang. A comparative study on the efficacy of different laparoscopic cholecystectomies in the treatment of gallstone disease[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(04): 388-391.