Comparative analysis of the effect of laparoscopic cholecystectomy: cystic artery approach and conventional approach

Objective To analyze the clinical effect of laparoscopic cholecystectomy by cystic artery approach or conventional approach. Methods The clinical data of 240 patients undergoing LC from March 2015 to May 2017 were analyzed. Of the patients, 120 cases were received cystic artery approach treatment (ALC group) and 120 cases were received traditional approach treatment (TLC group). Statistical analysis were performed by using SPSS 18.0 software. Measurement data such as duration of operation, perioperative amount of bleeding and the length of stay in hospital were expressed as mean±standard deviation, and were examined by using t test. Count data, such as postoperative complication rate were examined by using χ2 test, A P value<0.05 was considered as statistically significant difference. Results There were no significant diffenrence in the duration of operation and the length of stay in hospital between the two groups (P>0.05). the perioperative amount of bleeding were significantly lower in the ALC group (5.2±3.3) ml than in the TLC group (17.4±7.4) ml (P=0.000). The incidence rate of postoperative complications were 2.5% and 5.8% in the ALC group and TLC group respectively, there were no difference between the two groups (P>0.05), butnobile duct injury cases were found in ALC group. Conclusion The technique of Cystic artery approach used in LC can meticulously dissect the Calot's triangle, prevent bile duct injury effectively, and reduce the incidence rate of postoperative complication. Key words: Cholecystectomy, Laparoscopic; Wounds and Injuries; Treatment Outcome