肝硬化门脉高压症病人的腹腔镜胆囊切除术  

Laparoscopic Cholecystectomy For The Patients with Cirrhotic Portol Hypertension

作　　者：吴桂生[1] 万智恒[1] 秦杰[1] 李宏亮[1] 

机构地区：[1]包头医学院第一附属医院普外科,内蒙古包头014010

出　　处：《内蒙古医学杂志》2007年第11期1316-1317,共2页Inner Mongolia Medical Journal

摘　　要：目的:研究结石性胆囊炎合并肝硬化门脉高压症(CPH)病人施行腹腔镜胆囊切除术(LC)的临床效果.方法:回顾分析了26例手术病人的临床资料.结果:26例病人均完成手术,其中胆囊完全切除者24例,大部切除、黏膜电灼2例.手术时间20～110 min,平均50 min;出血量30～80 ml,平均50 ml;放置肝下引流管7例.切口下积液(血)2例.无出血、胆漏、肝功能衰竭等严重并发症发生.结论:应严格掌握合并肝硬化门脉高压症病人施行LC的手术适应证并注意术中操作要点,此类手术是安全可行的.Objective:To evaluate the clinical result of cholecystecystectomy(LC) for the patients with cirrhotic portal hypertension(CPH).Methods:Retrospection and summarization were made of 26 cases form July 2001 to February 2007.Results:LC was successfully performed in 26 cases.No servere postoperative complications were occurred.Conclusion:LC for CPH patients should be safe and feasible,if the operation indication controlled and the technique used correctly.

关 键 词：肝硬化门脉高压症 胆囊结石 腹腔镜胆囊切除术 

分 类 号：R575.6[医药卫生—消化系统]