肝硬化患者的腹腔镜胆囊切除术72例分析  

Laparoscopic Cholecystectomy for Hepatic Cirrhosis:Report of 72 Cases

作　　者：卢朝德[1] 蔡邢峰[1] 汤卫国[1] 

机构地区：[1]南通市第三人民医院普外科,南通226006

出　　处：《中国微创外科杂志》2008年第6期546-547,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨肝硬化患者施行腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)的安全性。方法回顾性分析2002年7月~2007年3月72例Child-PughA、B级肝硬化行LC的临床资料。全麻,四孔法,气腹压力8~12mmHg。结果71例完成LC(顺行切除67例,逆行切除4例),其中6例行胆囊大部分切除;因胆囊三角区致密粘连中转开腹1例。手术时间35~105min,平均51min;出血量5~60ml,平均12ml;术后住院时间3~11d,平均5.6d。术后出现腹水7例,穿刺孔出血1例。71例随访3~18个月,平均12个月,临床症状消失,无结石复发及残留。结论在充分做好术前准备,恰当的术中及术后处理的情况下,肝硬化病人行LC是安全的,对于肝功能A、B级须切除胆囊者应首选LC。Objective To evaluate the safety of laparoscopic cholecystectomy (LC) for patients with hepatic cirrhosis. Methods We retrospectively analyzed the clinical data of 72 patients with hepatic cirrhosis (Child-Pugh’s grads A or B). The patients received LC between July 2002 and March 2007. Under general anesthesia, the operation was preformed with four trocars and an intra-abdominal pressure of 8 to 12 mm Hg. Results LC was completed in 71 of the patients (antegrade in 67 and retrograde in 4), 6 of them receive...

关 键 词：肝硬化 腹腔镜胆囊切除术 胆囊结石 

分 类 号：R575.2[医药卫生—消化系统]