Clinical Exploration On The Simplified Preoperative Preparation For Laparoscopic Cholecystectomy

Objective: To explore the rationality and feasibility of laparoscopic cholecystectomy(LC)without the insertion of nasogastric tube, catheter and prepared skin (the perineum)preoperation.Methods: A total 200 cases undergoing LC were randomly divided into two groups(n=100 ineach group): control group and observation group.The patients were performed the insertion ofnasogastric tube catheter and skin preparation in control group,but not in observation group.The exhaust time, liquid food-taking opportunity,incision infection, anesthesia time,postoperative hospital stay, postoperative voiding were compared between observation groupand control group.Results: The time for liquid food-taking exhaust time, and ambulation time were significantlyearlier in observation group than that in control group, and postoperative hospital stay wasshorter in observation group than in control group(p<0.01); Patients spontaneously voided inobservation group except in special circumstances and had no urinary retention.There was nosignificant difference in the operative incision infection between observation group and controlgroup(p>0.01).Anesthesia time was not statistically different between observation group andcontrol group(p>0.01) .Conclusion：The LC without preoperative routine placement of gastric tube,catheter and skinpreparation is reasonable and feasible.