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

作　　者：金旭文 孙镇蛟 林森旺[1] 潘铨[2] 

机构地区：[1]上海市中西医结合医院微创外科,200082 [2]上海市第一人民医院外科,200080

出　　处：《蚌埠医学院学报》2004年第5期409-410,共2页Journal of Bengbu Medical College

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 4 3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 (ChildA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 。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.

关 键 词：肝硬化 胆囊炎/外科手术 并发症 腹腔镜术 

分 类 号：R657.41[医药卫生—外科学] R575.2[医药卫生—临床医学]