Jiamusi University, Heilongjiang, China
Acute cholecystitis (AC) is an inflammatory gallbladder disease caused by cystic duct obstruction and bacterial invasion. Studies have found that more than 90% of AC patients are associated with gallstones, cholelithiasis and other factors. The incidence rate of AC increases with age. For older people, the most common cause of AC emergency abdominal surgery is the higher mortality and morbidity of po-stoperative AC in elderly patients, and the need for in-patient observation. Although laparoscopic cho-lecystectomy (LC) in general surgery may increase the risk of conversion to open surgery in most eld-erly patients with AC, it is more effective that LC can quickly relieve the complications caused by inf-lammation within 48-72 hours. In this paper, we compared the laparoscopic surgery with the traditional open cholecystectomy in order to explore the safety and feasibility of the operation and other more pra-ctical features. Methods: 80 patients with acute cholecystitis treated in our hospital recently were selec-ted as the experimental objects. These patients were randomly divided into two groups, including 40 cases of abdominal microsurgery group (operation group), and the remaining 40 cases of open resectio-n group (sample group). Finally, the intraoperative blood loss, operation time, recovery time and pain degree of the two groups were analyzed and compared. Through the experimental comparison of the above four variables, abdominal microsurgery in general surgery for patients with acute cholecystecto-my, with less bleeding, shorter operation time, faster gastrointestinal recovery and less pain in the proc-ess of operation, is a safe, feasible and more minimally invasive medical operation.
Peritoneal Microsurgery, Acute Cholecystitis, General Surgery, Operation Situation
 Liu Xueqing. (2020). Medtronic academic support. Laparoscopic cholecystectomy. Chinese Journal of general surgery, 14 (03), 232-232. DOI:10.3877/cma.j.issn.1674-3946. 2020.03.006
 Zhang Bin, Zhuo guangzuo, Zhao Yujuan, Zhao Ke, Zhao Yong, & Zhu Jun, et al. (2020). Risk factors of anastomotic leakage after laparoscopic sphincter resection for low rectal cancer. Chinese Journal of general surgery, 35 (01), 8-12. DOI: 10.3760/cma.j.issn.1671-0274.2019. 08.010
 Yang Xiaoxu. (2015). Prevention and treatment of bile duct injury in cholecystectomy. Chinese Journal of Practical Medicine, V. 10(33), 264-266.
 Wei Hongtao, Zhang Tianpeng, Liu Bing, Zhang Jiandong, & Wang Guoxing. (2020). Clinical analysis of 63 cases of emergency biliary obstruction. Chinese Journal of physicians, 22 (01), 8-11. DOI: 10.3760/cma.j.issn.1008-1372.2020.01.003
 Feng Ming (2020). Analysis of optimal timing of laparoscopic cholecystectomy for acute cholecystitis. Chinese Minkang medicine, 12(1), 21-22.
 Yu Yuanyuan. (2018). Discussion on the effect of holistic nursing care for patients with intrahepatic bile duct stones undergoing secondary high level choledocholithotomy. Contemporary medicine review, 016 (014), 265-266. DOI: CNKI:SUN:QYWA.0.2018-14-195
 Peng Chuang, Huang Fu, sun zengpeng, Li ou, Yi Weimin, & Wu Jin Shu. (2020). Application of internal anastomosis in the treatment of intrahepatic bile duct stones with biliary stricture. Chinese Journal of general surgery, 35 (06), 471-475. DOI: 10.3760/cma.j. cn113855-20190911-00536
 Wang Baiyan. (2020). Effects of different loading doses of dexmedetomidine on patients undergoing laparoscopic cholecystectomy. Chinese Journal of practical medicine, 47 (03), 60-62. DOI: 10.3760/cma.j.issn.1674-4756.2020.03.016
 Perez, E. A. , Hillman, D. W. , Stella, P. J. , Krook, J. E. , Hartmann, L. C. , & Fitch, T. R. , et al. (2015). A phase ii study of paclitaxel plus carboplatin as first-line chemotherapy for women with metastatic breast carcinoma. Cancer, 88(1), 124-131.
 Chen Xiaoyuan, Wang Yi, Qiu Yudong, & Mao lang. (2020). Selection of preoperative biliary drainage for hilar cholangiocarcinoma. International Journal of surgery, 47 (06), 396-402. DOI: 10.3760/cma.j.cn115396-20200402-00089
 Zhu Xinying, Zhao Wenjuan, Du Juan, Meng Xia, Zhao Liwei, & Yang Liang et al. (2019). Clinical characteristics of 132 cases of acute colonic diverticulitis. Chinese Journal of endoscopy, 25 (007), 30-33. DOI: 10.3969/j.issn.1007-1989.2019.07.007
 Du Zijian. (2019). Comparative analysis of Foley catheter and misoprostol tablets placed in the posterior fornix of vagina to promote cervical ripening in late pregnancy. Medical theory and practice, 032 (012), 1904-1906. DOI: CNKI:SUN:YXLL.0.2019-12-059
 Wu Wanquan. (2019). Analysis and prevention of biliary tract injury in laparoscopic cholecystectomy. Chinese Journal of liver surgery, 8 (6), 538-541.
 Luo Liping & Liu Qingxiu. (2020). The effect of metronidazole combined with hydrogen peroxide on the levels of leukocytes, C-reactive protein and procalcitonin in puerperal infection women. Chinese Journal of experimental and clinical infectious diseases (Electronic Edition), 14 (01), 57-62. DOI: CNKI:SUN:ZSGR.0.2020-01-010
 Li Qing, & Sun Yonghong. (2019). Efficacy and safety analysis of electric cauterization with hot biopsy forceps under gastroscope in the treatment of gastric micro polyps. Chinese medical device information, 025 (005), 104-105.