腹腔镜胆囊切除术治疗胆囊结石合并肝硬化的临床分析  

Clinical analysis of laparoscopic cholecystectomy for the treatment of gallstones patients combined with liver cirrhosis

作　　者：李克清[1] 刘斌[2] 沈忱[1] 牛坚[2] 魏鑫[2] 王飞通[2] 

机构地区：[1]徐州医学院研究生学院,江苏徐州221004 [2]徐州医学院附属医院普外科,江苏徐州221002

出　　处：《徐州医学院学报》2015年第4期249-251,共3页Acta Academiae Medicinae Xuzhou

摘　　要：目的总结分析腹腔镜胆囊切除术治疗胆囊结石合并肝硬化的临床疗效，为临床治疗方案选择提供参考。方法选择82例胆囊结石合并肝硬化的患者，均采用腹腔镜下胆囊切除术治疗，对围手术期和手术的处理方法、效果等进行总结分析。结果82例患者全部治愈，手术时间（55．3±17．6）min。18例行胆囊次全切除，5例中转开腹手术。无术后腹腔出血及腹腔感染等并发症，住院时间（7．5±3．2）天。结论术前积极改善肝功能，术中仔细分离操作，术后采取积极预防措施，采用腹腔镜胆囊切除术治疗胆囊结石合并肝硬化是安全可靠的。Objective To investigate the curative effect of laparoscopic cholecystectomy （ LC ） in the treatment of gallstones combined with liver cirrhosis so as to provide reference for clinical treatment options. Methods A total of 82 cases of gallstones combined with liver cirrhosis received laparoscopic cholecystectomy. The management during the perioperative period and the effect were summarized. Results All the 82 patients were cured. The operation time was （ 55.3 ± 17.6 ） rain. Laparoscopic subtotal cholecystectomy （LSC） was performed in 18 cases. Only 5 cases were transferred to laparotomy. No postoperative complications such as abdominal cavity bleeding and abdominal cavity infection were observed. Length of hospital stay was （ 7.5 ± 3, 2） days. Conclusion Laparoscopie cholecystectomy is safe and reliable for the treatment of gallstones combined with liver cirrhosis. It is important to improve liver function before surgery, perform careful dysjunction during surgery, and take preventive measures after surgery.

关 键 词：胆囊结石 肝硬化 腹腔镜手术 

分 类 号：R657.42[医药卫生—外科学]