The impact of laparoscopic cholecystectomy combined with posterior gallbladder triangle approach on clinical efficacy and safety in patients with cholecystitis

Abstract

Abstract: Objective To evaluate the effectiveness of the posterior gallbladder triangle approach in laparoscopic cholecystectomy. Methods The study sample included 106 patients treated for acute cholecystitis from January 2020 to January 2023. Fifty-three patients were randomly assigned to each of two groups. All patients underwent laparoscopic cholecystectomy; the control group underwent the conventional gallbladder triangle approach, while the observation group used the posterior gallbladder triangle approach. Perioperative indicators were recorded. Levels of inflammatory markers, pain mediators, and stress response markers pre-surgery and 24 hours post-surgery were compared between the groups. Complications were also recorded. Results The surgical time for the observation group and the control group was (33.14±4.06) minutes and (48.83±5.73) minutes, respectively, with the observation group showing significantly less time than the control group (P<0.05). The intraoperative blood loss for the observation group and control group were (35.24±4.12) mL and (49.67±5.69) mL, respectively, with the observation group having significantly less blood loss (P<0.05). The recovery time of bowel sounds, first time to pass gas, first time to defecate, and first time to eat in the observation group were (12.06±2.03) hours, (19.26±2.70) hours, (35.32±4.01) hours, and (1.55±0.36) days, respectively, all of which were significantly shorter than those in the control group (P<0.05). The levels of postoperative pain mediators, inflammatory factors, and stress indicators were all lower in the observation group compared to the control group (P<0.05). The complication rates for the observation group and control group were 5.66% (3/53) and 22.64% (12/53), respectively, with the observation group having a significantly lower rate (P<0.05). Conclusion The use of the posterior gallbladder triangle approach in laparoscopic cholecystectomy can reduce surgical time and intraoperative blood loss, and accelerate postoperative recovery.

Key words: Acute cholecystitis, Laparoscopic surgery, Posterior gallbladder triangle, Complications

LIU Lei, CUI Fa-qiang, YIN Tian-ying. The impact of laparoscopic cholecystectomy combined with posterior gallbladder triangle approach on clinical efficacy and safety in patients with cholecystitis[J]. Chinese Hepatolgy, 2025, 30(10): 1419-1423.

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