Effect of Percutaneous Transhepatic Cholecystectomy Combined with Laparoscopic Cholecystectomy on the Quality of Life of Elderly Patients with Acute Calculous Cholecystitis

  • Zhenliang Wang
Keywords: Acute calculous cholecystitis in the elderly; Acute calculous cholecystitis in the elderly; Laparoscopic cholecystectomy; Quality of life

Abstract

To evaluate and analyze the effect of percutaneous transhepatic cholecystectomy combined with laparoscopic
cholecystectomy on the quality of life of elderly patients with acute calculous cholecystitis. The operation
indexes, acute physiological and chronic health (APACHE-II) scores, postoperative complications and quality
of life scores were evaluated and compared between the two groups. The length of operation, postoperative
temperature, length of hospital stay, and rate of conversion to open surgery in the study group were all lower
than those in the control group (P <0.05); there was no significant difference in APACHE-II scores between the
two groups before surgery (P> 0.05); The subsequent APACHE-II score was lower than that of the control
group (P <0.05); the postoperative complication rate in the study group was lower than that of the control group
(P <0.05). The clinical application of percutaneous transhepatic cholecystectomy combined with laparoscopic
cholecystectomy in the treatment of acute calculous cholecystitis in the elderly has more obvious advantages,
effectively reduces the conversion rate, fewer complications, and shortens the length of hospitalization, which is
of great help to accelerate the rehabilitation process and improve the quality of life. It is a safe and feasible
method for the treatment of acute calculous cholecystitis in the elderly.

Published
2020-05-01