Comparative analysis of the timing of laparoscopic cholecystectomy for acute calculous cholecystitis
急性结石性胆囊炎腹腔镜胆囊切除术手术时机的对比分析

摘要

目的 探究急性结石性胆囊炎腹腔镜胆囊切除术手术时机的对比。方法 选择2024年1月份至2025年1月份收治的140例患者进行研究，依据手术时机分成对照组和实验组，每组70例，对照组发病时间在72小时及以下；实验组发病时间在72小时以上，分析两组患者的手术时间、术中出血量、中转开腹率、术中出血量、术后住院时间以及并发症发生率。结果 两组患者提供不同的治疗方案后，两组患者手术时间、术中出血量、中转开腹率、术后住院时间、并发症发生率存在差异，p<0.05。结论 对急性结石性胆囊炎腹腔镜胆囊切除术患者在早期手术可以有效的缩短患者的手术时间，减少患者手术期间的出血量，降低中转开腹的几率，减少并发症的产生。

Abstract

Objective To explore the comparison of the timing of laparoscopic cholecystectomy for acute calculous cholecystitis.
Methods A total of 140 patients admitted from January 2024 to January 2025 were selected for the study. They were divided into a control group and an experimental group according to the timing of surgery, with 70 cases in each group. The onset time of the control group was 72 hours or less; the onset time of the experimental group was more than 72 hours. The operation time, intraoperative bleeding volume, conversion to laparotomy rate, intraoperative bleeding volume, postoperative hospitalization time and complication rate of the two groups of patients were analyzed.
Results After the two groups of patients were provided with different treatment plans, there were differences in the operation time, intraoperative bleeding volume, conversion to laparotomy rate, postoperative hospitalization time and complication rate between the two groups of patients, p<0.05.
Conclusion   For patients with acute calculous cholecystitis, laparoscopic cholecystectomy in the early stage can effectively shorten the operation time, reduce the amount of bleeding during the operation, reduce the chance of conversion to laparotomy, and reduce the occurrence of complications.