Zhou Y, Chen ZQ. Research on the prognostic value of adjusting intraperitoneal three-dimensional quality evaluation mode in laparoscopic cholecystectomy patients. World J Gastrointest Surg 2024; 16(4): 1078-1086 [PMID: 38690039 DOI: 10.4240/wjgs.v16.i4.1078]
Corresponding Author of This Article
Zhan-Qing Chen, MAMS, Chief Nurse, Operating Room, The Second People's Hospital of Lianyungang Affiliated to Kangda College of Nanjing Medical University, No. 41 Hailian East Road, Haizhou District, Lianyungang 222000, Jiangsu Province, China. www73737373@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Gastrointest Surg. Apr 27, 2024; 16(4): 1078-1086 Published online Apr 27, 2024. doi: 10.4240/wjgs.v16.i4.1078
Table 1 Baseline medical data, mean ± SD/n (%)
Baseline medical data
Research group (n = 49)
Control group (n = 49)
P value
Gender
Male
26 (53.06)
29 (59.18)
0.541
Female
23 (46.94)
20 (40.82)
Mean age (yr)
44.02 ± 9.78
46.64 ± 9.77
0.188
Mean operation time (min)
59.38 ± 10.67
58.06 ± 10.22
0.533
ALT (U/L)
30.34 ± 4.57
30.32 ± 5.18
0.984
AST (U/L)
36.16 ± 10.90
35.67 ± 11.75
0.831
FBG (mmol/L)
4.81 ± 0.98
4.99 ± 0.91
0.348
CREA (μmol/L)
74.94 ± 15.26
74.60 ± 14.48
0.910
CK (U/L)
185.58 ± 114.33
191.46 ± 100.04
0.787
UA (μmol/L)
346.74 ± 89.00
368.21 ± 87.36
0.231
Concurrent diseases
Hypertension
5 (10.20)
6 (12.24)
0.102
Diabetes
4 (8.16)
5 (10.20)
0.122
Smoking
7 (14.29)
6 (12.24)
0.089
Drinking
6 (12.24)
5 (10.20)
0.102
Table 2 Comparison of postoperative rehabilitation indicators, mean ± SD
Groups
Cases
Anal exhaust time (h)
Postoperative feeding time (h)
Postoperative ambulation time (h)
Length of stay (d)
Research group
49
26.14 ± 2.85
20.30 ± 3.11
29.25 ± 5.58
5.99 ± 1.00
Control group
49
39.33 ± 5.66
30.80 ± 6.49
72.27 ± 10.67
8.33 ± 0.99
t
-
14.570
10.213
25.010
11.640
P value
-
< 0.001
< 0.001
< 0.001
< 0.001
Table 3 Comparison of stress index levels before and after surgery, mean ± SD
Groups
Cases
Cortisol (ng/L)
Epinephrine (ng/L)
Day 1 of admission
3 d after surgery
Day 1 of admission
3 d after surgery
Research group
49
105.55 ± 10.31
116.65 ± 16.47
96.18 ± 7.72
132.50 ± 20.28
Control group
49
110.08 ± 13.73
126.69 ± 14.77
99.01 ± 10.24
153.36 ± 25.92
t
-
1.847
3.177
1.545
4.437
P value
-
0.068
0.002
0.126
< 0.001
Table 4 Comparison of anxiety and depression status before and after surgery, mean ± SD
Groups
Cases
SAS
SDS
Day 1 of admission
3 d after surgery
Day 1 of admission
3 d after surgery
Research group
49
58.11 ± 11.30
49.74 ± 6.45
64.46 ± 8.45
51.44 ± 5.54
Control group
49
61.18 ± 9.82
52.62 ± 4.32
65.51 ± 9.57
55.09 ± 6.86
t
-
1.435
2.597
0.027
2.898
P value
-
0.154
0.011
0.978
0.005
Table 5 Distinctions in the incidence of perioperative complications, n (%)
Groups
Cases
Incision infection
Pulmonary infection
Ascites
Incidence rate
Research group
49
2 (4.08)
1 (2.04)
0 (0.00)
3 (6.12)
Control group
49
5 (10.20)
3 (6.12)
2 (4.08)
10 (20.41)
χ2
-
-
-
-
4.346
P value
-
-
-
-
0.037
Citation: Zhou Y, Chen ZQ. Research on the prognostic value of adjusting intraperitoneal three-dimensional quality evaluation mode in laparoscopic cholecystectomy patients. World J Gastrointest Surg 2024; 16(4): 1078-1086