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Prospectively selected 100 cases of patients who suffered from gallstones ro cholecystic polypus and treated with laparoscopic cholecystectomy in our hospital. Randomly divided into the experimental group and the control group. The experimental group preserve the main cystic artery, and the control group treated with conventional laparoscopic cholecystectomy. Collection of statistics: including general data(gender, age, BMI, etc.), time of surgery, intraoperative blood loss, incidence of surgical complications (delayed hemorrhage, biliary injury, etc.) and postoperative pain score, etc.
(1) consistent with the indications of cholecystectomy (2) no cholangitis or pancreatitis (3) no diabetes (4) the operation time is less than or equal to 1 hour 3.Exclusion criteria
4.2 surgical method:Laparoscopic cholecystectomy with the preservation of the main cystic artery
(1) General data of patients (gender, age, BMI, etc.); (2) Operation time, intraoperative blood loss, surgical complications (delayed hemorrhage, biliary tract injury, etc.) incidence.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| the experimental group | Experimental | The experimental group operated by the left side of laparoscopic cholecystectomy preserving the main cystic artery. The operation area of cystic artery dissection is moved from the traditional triangular area to the gallbladder neck plane, away from the hepatic duct and hepatic portal.Only the superficial and even more minute branches of the cystic artery were isolated and coagulated. |
|
| the control group | No Intervention | treated with conventional laparoscopic cholecystectomy cutting the cystic artery |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| preserve the main cystic artery | Procedure | The experimental group preserve the main cystic artery, and the control group cut off the main cystic artery |
|
| Measure | Description | Time Frame |
|---|---|---|
| Operation time | Compare the operation time between the two operations | One hour to 24 hours after surgery |
| intraoperative blood loss | Compare the amount of blood loss during the two operations | One hour to 24 hours after surgery |
| incidence of surgical complications | delayed hemorrhage, biliary tract injury, etc. | One hour to 24 hours after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Wei Han, Docter | Contact | 1350119597 | 13501195197 | dr-han@vip.sina.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Luhe Hospital affiliated to the Capital Medical University | Beijing | Tongzhou | 101149 | China |
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| ID | Term |
|---|---|
| D002764 | Cholecystitis |
| ID | Term |
|---|---|
| D005705 | Gallbladder Diseases |
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
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