Clinical Application Research of the Improved Mini Laparoscopic Cholecystectomy

Abstract

Objective: Comparative analysis of the improved “mini” laparoscopic cholecystectomy and traditional laparoscopic cholecystectomy, to explore the advantages and disadvantages of the improved “mini” laparoscopic cholecystectomy. Methods: Analysis of the medical records from 341 cases of the improved “mini” laparoscopic cholecystectomy and107 cases of traditional laparoscopic cholecystectomy were conducted at the same period. Institutional review board approval was obtained for this study. Comparison between the two groups in operation time,intraoperative blood loss, complications around the operation, hospitalization time, intestinal function recovery time, postoperative pain score and abdominal wall cosmetic effect score. Results: The postoperative pain score of the improved “mini” laparoscopic cholecystectomy group (Group A) was lower than that of traditional laparoscopic cholecystectomy group (Group B) (P<0.05). The abdominal wall cosmetic effect score of group A is obviously higher than that of group B(P<0.01). Conclusion: The improved “mini” laparoscopic cholecystectomy has the advantages of less postoperative pain and better cosmetic effect on the abdominal wall, which makes it easier to be accepted by the majority of patients.