关键词: 胆囊结石； ,  , 腹腔镜胆囊切除术； ,  , 胆囊板； ,  , 解剖入路

Abstract: Objective   To explore the safety, feasibility and advantages of cystic plate approach in laparoscopic cholecystectomy.    Methods    The clinical data of 110 cases of laparoscopic cholecystectomy via cystic plate approach (experimental group) and 170 cases of traditional laparoscopic cholecystectomy (control group) who went to our center from July 2016 to December 2019 was retrospectively analyzed. The gender, age, size and number of stones, operation time, conversion rate, intraoperative blood loss, the number of clips used, postoperative hospital stay, complication rate, the amount of postoperative drainage fluid were compared between the two groups to evaluate the therapeutic effect and clinical value of different techniques. Results   There was no statistical difference in general conditions, operation time, conversion rate, postoperative hospital stay, and complication rate between the two groups (P>0.05). The intraoperative blood loss (P=0.004), the number of clips used (P=0.000), the amount of postoperative drainage fluid (P=0.005), the postoperative pain (P=0.015) in the experimental group were less than those in the control group.  Conclusions   Laparoscopic cholecystectomy via the gallbladder plate approach is safe and feasible, and theoretically has the advantage of avoiding the risk of intraoperative biliary tract injury.

Key words: Gallbladder stones; ,  , Laparoscopic cholecystectomy; ,  , Cystic plate; ,  , Anatomical approach