后三角人路聯(lián)合鈍性冷分離在腹腔鏡膽囊切除術(shù)中的臨床效果

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Clinical Effect of Posterior Triangle Approach Combined with Blunt Cold Separation in Laparoscopic Cholecystectomy/HE Dan. //Medical Innovation of China， 2025， 22（12）： 111-114

[Abstract]Objective： To explore the effect of posterior triangular approach combined with blunt cold separation inlaparoscopiccholecystectomy and the prevention of bile duct injury.Method： A total of 140 patients who underwent laparoscopic cholecystectomy in Pingba Hospital of Guihang from December 2022 to December 2024 were selected as the research objects.Patients were randomly divided into observation group and control group by computerlottery， with 70 cases in each group.The observation group was treated by posterior triangle approach combined with blunt cold separation， whilethe control group was treated by conventional galbladder triangle approach.The prognosis of the two groups was compared.Result：The operation time and hospitalization time of the observation groupwere shorterthan those ofthecontrol group，the intraoperative bloodloss wasless than that of the control group，andthe gastrointestinalfunction recovery time was earlierthan thatofthecontrol group， the differences were statistically significant （ P <0.05）. 3 days after surgery， the levels of C reactive protein （CRP）， interleukin-6（IL-6）andD-lactic acid in the observation group were lower thanthose in the control group，the differences were statistically significant （ P <0.05）. The incidence of postoperative complications such as bile duct injury inthe observation group waslowerthan that inthecontrol group，thedifferencewas statisticallsignificant （ P <0.05）. Conclusion： Using posterior triangle approach combined with blunt cold separation in laparoscopic cholecystectomy can reduce surgical trauma and prevent complications such as bile duct injury on the basis of ensuring the surgical effect.

[Key words]Laparoscopic cholecystectomy Posterior triangular approach Blunt cold separation Bile duct injury

First-author's address： Department of Surgery， Pingba Hospital of Guihang， Anshun 561100， China doi： 10.3969/j.issn.1674-4985.2025.12.027

腹腔鏡膽囊切除術(shù)是治療膽囊疾病的主要方法之一，相較于傳統(tǒng)開腹手術(shù)，腹腔鏡提供放大的高清視野，使解剖結(jié)構(gòu)更為清晰，尤其在辨別膽囊動(dòng)脈、膽囊管等關(guān)鍵結(jié)構(gòu)時(shí)更加準(zhǔn)確，手術(shù)安全性進(jìn)一步的提升[-2]。（剩余4794字）