摘要
Abstract
Objective:To explore the effect of posterior triangular approach combined with blunt cold separation in laparoscopic cholecystectomy and the prevention of bile duct injury.Method:A total of 140 patients who underwent laparoscopic cholecystectomy in Pingba Hospital of Guihang from December 2022 to December 2024 were selected as the research objects.Patients were randomly divided into observation group and control group by computer lottery,with 70 cases in each group.The observation group was treated by posterior triangle approach combined with blunt cold separation,while the control group was treated by conventional gallbladder triangle approach.The prognosis of the two groups was compared.Result:The operation time and hospitalization time of the observation group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the gastrointestinal function recovery time was earlier than that of the control group,the differences were statistically significant(P<0.05).3 days after surgery,the levels of C reactive protein(CRP),interleukin-6(IL-6)and D-lactic acid in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications such as bile duct injury in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Using posterior triangle approach combined with blunt cold separation in laparoscopic cholecystectomy can reduce surgical trauma and prevent complications such as bile duct injury on the basis of ensuring the surgical effect.关键词
腹腔镜胆囊切除术/后三角入路/钝性冷分离/胆管损伤Key words
Laparoscopic cholecystectomy/Posterior triangular approach/Blunt cold separation/Bile duct injury
