The Value of Laparoscopic Cholecystectomy in the Treatment of Acute Cholecystitis in the Primary Hospital

TIAN Jie

Abstract：Objective:To study the value of laparoscopic cholecystectomy in the treatment of acute cholecystitis in the primary hospital.Method:80 patients with acute cholecystitis from April 2010 to April 2013 in our hospital surgical department were divided into control group and observation group according to surgical procedure,patients in the control group were underwent open cholecystectomy,patients in the observation group were underwent laparoscopic cholecystectomy.The effects and related surgical cases in the two groups were compared.Result:The clinical effect in the observation group was 90.0%, significantly higher than 70.0%in the control group,there was statistically significant(X2=5.000,P=0.025<0.05).The incision length in the observation group was (3.5±0.7)cm,surgery time was (95.3±14.6) min,blood loss was (37.5±8.8)ml,length of hospital stay was (6.3±1.4)days,less than those in the control group,there were statistically significant(t=20.670,10.856,21.427,11.919,P<0.05).The rate of nalgesic usage was 10.0%,less than that in control group(X2=5.000,P<0.05).Conclusion:There are the advantages such as small incision,the clear operative field,complete separation of the anatomy for Laparoscopic cholecystectomy.The clinical effects is better in observation group than in control group,it is worthy of application in the primary hospital.