Impact of Laparoscopic Cholecystectomy on Patients with Gallstones

GAO Feng; SHA Guangchun

doi:10.14033/j.cnki.cfmr.2023.34.015

Abstract：Objective:To explore the impact of laparoscopic cholecystectomy on patients with gallstones.Method:A total of 100 patients with gallstones who admitted to Pizhou Traditional Chinese Medicine Hospital from January 2020 to January 2022 were selected as the research subjects,the patients were divided into the control group and the observation group by random number table method,50 cases in each group.The control group was underwent open cholecystectomy,while the observation group was underwent laparoscopic cholecystectomy.The postoperative recovery,stress response,gastrointestinal hormone levels and the incidence of postoperative complications in two groups were compared.Result:The drainage tube indwelling time,pain duration,first exhaust time and hospitalization time in the observation group were better than those in the control group,and the differences were statistically significant(P<0.05).There were no significant differences in preoperative stress response and gastrointestinal hormone levels between two groups(P>0.05);the levels of endothelin,cortisol,gastrin and the incidence of complications in the observation group were lower than those in the control group,and the levels of serum superoxide dismutase and motilin were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Compared with open cholecystectomy,laparoscopic cholecystectomy can effectively shorten the recovery time,pain duration and hospital stay of patients with gallstones,alleviate stress response,improve gastrointestinal hormone levels,and reduce the risk of postoperative complications.