腹腔镜胆囊切除术治疗肝硬化合并结石性胆囊炎43例分析

Analysis of forty-three cases with liver crrrhosis and calculous cholecystis by laparoscopic cholecystectomy

摘要: 目的: 讨论肝硬化患者腹腔镜胆囊切除术(LC)的手术适应证和手术技巧。方法: 对43例行气腹腹腔镜胆囊切除术的肝硬化合并结石性胆囊炎患者(Child A级35例,B级8例)进行分析。结果: 术后所有患者恢复良好,无胆道损伤、腹腔感染和术后出血。结论: 选择合理的手术适应证、完善的术前准备和轻柔、熟练的手术操作,肝硬化患者的腹腔镜胆囊切除术可以取得满意的效果。

Abstract: Objective: To discuss the indications and technical skills for laparoscopic cholecystectomy(LC) liver cirrhosis patients.Methods: Forty-three liver cirrhosis patients(35 Child A and 8 Child B),who had calculous cholecystitis and had received LC,were analyzed retrospectively.Results: All the patients recoverd well with no biliary duct trauma,introperitoneal infection or postoperative bleeding.Conclusions: On condition of proper surgical indication meticulous preoperative preparation and skilled technique,satisfactory results can be achieved in cirrhosis patients with LC.