Objective To explore the clinical effect of laparoscopic cholecystectomy on acute episodecholecystitis.Methods A total of 80 patients with acute episodecholecystitis admitted in our hospital from January 2014 to December 2018 were selected. Among them, 39 patients underwent open cholecystectomy were set as open group and 41 patients underwent laparoscopic cholecystectomy were set as endoscopic group. The therapeutic effects of two groups were compared. Results The operation time, postoperative anal exhaust time, time to get out of bed and hospitalization time in the endoscopic group were significantly shorter than those in the open group, the amount of intraoperative blood loss was significantly less than that in the open group (P<0.05). The total incidence of complications in the endoscopic group was significantly lower than that in the open group (P<0.05). At 1 day after operation, PRI sensory score, PRI emotional score, VAS scores, PPI scores and total score of the two groups decreased, and those in the endoscopic groupwere lower than the open group (P<0.05). At 1 week after operation, the scores of subjective symptoms, psychological emotional, physiological function, social activity, digestive system specialty and total score of the two groups increased, and those in the endoscopic group were higher than the open group (P<0.05). Conclusion Laparoscopic cholecystectomy for acute episode cholecystitis has asignificant effect and less trauma, which can relieve pain and improve the quality of life of patients.
CLINCAL RESEARCH AND PRACTICE