急性胆囊炎困难腹腔镜胆囊切除术的危险因素分析OA

Objective:To investigate the related factors influencing the surgical difficulty of laparoscopic cholecystectomy(LC)for acute cholecystitis.Methods:A retrospective analysis was conducted on clinical data of 296 patients who underwent LC for acute cholecystitis between Jan.2023 and Dec.2024.Based on surgical difficulty,the patients were divided into the simple group and the diffi-cult group.Univariate and multivariate analyses were used to identify the influencing factors of surgical difficulty.Results:There were 159 cases in the difficult group,accounting for 53.7%.Univariate analysis showed that patient gender(male),body mass index(BMI),body temperature≥38℃,diabetes mellitus,hypertension,white blood cell count,C-reactive protein,prothrombin time,gallbla-dder wall thickness,and pericholecystic computed tomography(CT)attenuation value were related to the difficulty of LC(P<0.05).Multivariate logistic regression analysis identified BMI,male gender,gallbladder wall thickness,and pericholecystic CT attenuation value as independent influencing factors for difficult LC(P<0.05).Conclusions:Preoperative comprehensive assessment of the patient′s BMI,gender(male),gallbladder wall thickness,and pericholecystic CT attenuation value,and the implementation of targeted interven-tion measures,are helpful to reduce surgical difficulty and improve clinical efficacy.