EFFECT OF PERCUTANEOUS TRANSHEPATIC CHOLECYSTECTOMY COMBINED WITH LAPAROSCOPIC CHOLECYSTECTOMY ON THE QUALITY OF LIFE OF ELDERLY PATIENTS WITH ACUTE CALCULOUS CHOLECYSTITIS

Zhenliang Wang¹, Bole Tian^2*

¹Department of Hepatobiliary Surgery, The Bethune International Peace Hospital, Shijiazhuang, 050000, China - ²Department of Pancreatic Surgery, West China Hospital of Sichuan University, Chengdu, 610041, China

Objective: 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.

Methods: 73 elderly patients with acute calculous cholecystitis admitted in our hospital from January 2018 to May 2019 were randomly selected and divided into two groups according to the odd even number of beds. In the control group (n = 37), laparoscopic cholecystectomy was performed directly. In the study group (n = 36), percutaneous transhepatic cholecystectomy combined with laparoscopic cholecystectomy was performed. 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.

Result: 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).

Conclusion: 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.