胆囊结石并肝硬化患者行腹腔镜与开腹胆囊切除术的对比研究  

Comparative Study of Laparoscopic Eholecystectomy and Open Cholecysteetomy for Patients with Cholelithiasis Associated with Cirrhosis

作　　者：许炯[1] 邬匡杰[1] 毕杰[1] 

机构地区：[1]无锡市人民医院肝胆外科,江苏无锡214026

出　　处：《中国医药指南》2011年第25期8-9,共2页Guide of China Medicine

摘　　要：目的探讨腹腔镜与开腹胆囊切除术治疗胆囊结石并肝硬化患者的临床疗效差异。方法回顾性分析无锡市人民医院近年来收治的73例胆囊结石并肝硬化患者的临床资料。结果开腹组胆囊结石并肝硬化患者的手术时间、术后住院时间明显长于腹腔镜组,术中出血量也明显多于腹腔镜组,并发症发生率明显高于腹腔镜组,经统计学分析,具有显著性差异,P<0.05。结论腹腔镜胆囊切除术治疗胆囊结石并肝硬化可以明显缩短手术时间和术后住院时间,减少术中出血量,降低并发症发生率,是一种理想的微创治疗方法,值得临床推广使用。Objective To investigate the laparoscopic and open cholecystectomy in treatment of cholelithiasis and liver cirrhosis patient＇s clinical efficacy.Methods Retrospective analysis of Wuxi People＇s Hospital in recent years treated 73 cases of gallstone and cirrhosis in patients with clinical data.Results Laparotomy group of gallstone and cirrhosis in patients with operation time,postoperative hospital stay was significantly longer than the laparoscopic group,intraoperative bleeding is also significantly more than the laparoscopic group,the complication rate was significantly higher in the laparoscopic group,statistically,significant difference,P〈0.05.Conclusion Laparoscopic cholecystectomy in treatment of cholelithiasis and liver cirrhosis can shorten the operation time and postoperative hospitalization time,reduce the amount of intraoperative bleeding,reduces the rate of complications,and is an ideal minimally invasive treatments,is worthy of clinical use.

关 键 词：胆囊结石 肝硬化 腹腔镜 胆囊切除术 

分 类 号：R657.31[医药卫生—外科学]