老年肝硬化并发胆囊结石患者手术治疗的临床分析  

Clinical analysis of elderly patients with liver cirrhosis complicated gallstone patients surgical treatment

作　　者：熊晓林[1] 

机构地区：[1]峨眉山市人民医院普外科,四川峨眉山614200

出　　处：《四川医学》2012年第12期2152-2154,共3页Sichuan Medical Journal

摘　　要：目的探讨老年肝硬化并发胆囊结石患者行胆囊切除术的可行性、安全性以及手术方式的比较。方法回顾分析我院老年肝硬化患者行胆囊切除术的临床资料,其中腹腔镜组(LC组)67例,开腹组(OC组)56例。结果二组均顺利手术,无死亡病例。腹腔镜手术组手术时间、术中失血量、平均住院时间,均明显低于开腹手术组,差异有统计学意义(P<0.05);腹腔镜组并发症总发生率为10.45%(7/67),明显低开腹手术组26.79%(15/56),差异有统计学意义(P<0.05)。结论对肝硬化并发胆囊结石老年患者进行胆囊切除术是安全可行的,但应详细评估其适应证以及进行充分的术前准备。Objective To investigate the elderly cirrhosis complicated gallbladder stones underwent cholecystectomy fea- sibility, safety and surgical comparison. Methods A retrospective analysis of 123 cases in our hospital elderly patients with cir- rhosis cholecystectomy clinical data, including laparoscopic group （ LC group） 67 cases, 56 cases of laparotomy group （ OC group）. Results The two groups were successful surgery, with no deaths. Laparoscopic surgery group operative time, intraopera- tire blood loss, the average length of stay was significantly lower than the open surgery group, the difference was statistically signif- icant （P 〈 0. 05 ）; overall incidence of complications of laparoscopic group was 10.45% （7/67） 26. 79%, significantly lower than the open surgery group （ 15/56）, the difference was statistically significant （ P 〈 0. 05 ）. Conclusion cirrhosis complicated gallbladder stones in elderly patients with cholecystectomy is safe and feasible, but it should be a detailed assessment of its indica- tions and ade^uate preoperative preDaration.

关 键 词：胆囊结石 肝硬化 腹腔镜胆囊切除术(LC) 开腹胆囊切除术(OC) 

分 类 号：R657.4[医药卫生—外科学]