The analysis of 359 cases of minilaparotomy cholecystectomy

Objective To investigate the miuilaparotomy cholceystectomy (MC) value in clinical application.Methods 359 cases of minilaparotomy cholecystectomy were retrospectively analyzed,summarized the advantages and the main point of surgery and operation of the minilaparotomy cholecystectomy.Results 359 cases of minilaparotomy cholecystectomy were successfully completed,after the operation,there were 172 cases without using the painkiller,accounting for 47.9%.Within 24 hours all recovered to take food and have out-of-bed activity,non-accidental bleeding,none of the incisions had infection.241 cases of the patients discharged from the hospital within 7d after operations,accounting for 67.1%,the longest length of stay was 11d.The shortest operation time was 38 minutes,and the longest one was 135 minutes,the average time was 52 minutes,there were 349 cases have the out-of-bed with 7-24 hours after the operations,and 252 cases were without postoperative analgesia.The discharged time was within 4～20d,the average time of follow-up visit was 6 months.there was none of eomplications.Conclusions The minilaparotomy cholecystectomy was safe,little painful,with short operative time,quick recovery,short hospitalization time,small sear,and easy to grasp the main points of its operation,as long as the master of the indications for MC.Rule out the serious edema of Calot triangle,adhesion patients,majority of patients can be MC linesurgery.Operators can do skilifully.h is worth for extending. Key words: Small incision;  Cholecystectomy;  Clinical analysis