Clinical curative effect of laparoscopic cholecystectomy and laparotomy cholecystectomy on gallstone

Objective To investigate the clinical curative effect of laparoscopic cholecystectomy and laparotomy cholecystectomy on gallstone. Methods Eighty-six patients with gallstones were selected, and the patients were divided into laparotomy group (41 cases) and laparoscopy group (45 cases) according to the surgical procedure. The operation time, incision lengths, blood loss volume, first exhaust time, hospital stay, complications and the influence of immune status were compared. Results The operations of all patients were successfully. The incision lengths, blood loss volume, first exhaust time, hospital stay of the laparoscopy group were less than those of the laparotomy group(P<0.05), respectively; there was no significant difference in operation time, complications between the two groups(χ2=2.431, P=0.297); CD4+ , CD4+ /CD8+ of laparoscopy group on 7 d after operation were higher than those of the laparotomy group (P<0.05). Conclusions There was no significant difference in curative efficacy or postoperative complications between the traditional laparotomy cholecystectomy and laparoscopic cholecystectomy, but there was less damage on immune function for patients in laparoscopic cholecystectomy, so that patients could get early relovery. Laparoscopic cholecystectomy is the preferred method for the treatment of gallstones. Key words: Gallstones; Laparoscopy; Cholecystectomy; Complication; Immune status