Abstract: Objective The aim of this study was to explore the clinical Efficacy of Rouviere sulcus guided posterior triangle approach and conventional laparoscopic cholecystectomy (LC) in the treatment of patients with benign gallbladder diseases. Methods A total of 104 patients with benign gallbladder diseases were recruited in our hospital between March 2018 and March 2019, and they were randomly divided into observation group (n=52) and control group (n=52) . The patients in the control group underwent LC, and those in the observation underwent LC by Rouviere groove-guided orientation and posterior triangle gallbladder approach. The visual analogue score (VAS) at different postoperative time and the complications during hospitalization in the two groups was recorded. Results One patient (1.9%)in the observation group, while six (11.5%) patients in the control converted to open surgery during LC, which led to the operation time, intraoperative bleeding volume, time for out-of-bed activity after operation and hospitalization stay in the control much longer or greater than those in the observation [(113.5±5.1)min,(34.5±5.4)mL, (3.4±0.9)d and (8.0±1.2)d vs. (75.1±5.2)min,(13.4±5.1)mL, (1.4±0.8)d and (3.8±1.0)d, respectively,P＞0.05]; at 12 h and 24 h after operation, the VAS score in the control group were (4.8±1.0) and (5.2±1.3), significantly greater than 【(2.8±1.0) and (3.1±1.2), respectively,P＞0.05】 in the observation; there were no significant differences as respect to the biochemical parameters between the two groups(P>0.05); after operation, the incidences of bile leakage, bile duct injuries, incision infection, peritonitis and abdominal distention in the observation group were 3.8%, 0.0%, 1.9%, 1.9% and 1.9%, significantly lower than 3.8%, 9.6%,3.8%, 3.8% and 3.8%(P<0.05) in the control. Conclusion The LC with Rouviere sulcus-guided posterior triangle approach for the treatment of patients with benign gallbladder diseases might boost the operation success and reduce the operation-related complications, which worth further investigation.

Key words: Benign gallbladder diseases, Laparoscopic cholecystectomy, Rouviere sulcus-guided posterior triangle approach, Complications