血吸虫病肝硬变伴症状性胆结石患者腹腔镜胆囊切除  

Laparoscopic cholecystectomy in the treatment of patients with schistosomiasis hepatic cirrhosis complicated with symptomatic gallstone

作　　者：顾建伟[1] 郭吕[1] 朱景元[1] 王春生[1] 陶卫东[1] 顾卯林[1] 胡兵[1] 

机构地区：[1]江苏省昆山市中医医院外一科,江苏昆山215300

出　　处：《中国普通外科杂志》2003年第12期896-898,共3页China Journal of General Surgery

摘　　要：目的　探讨血吸虫病肝硬化伴症状性胆结石患者腹腔镜胆囊切除 (LC )的效果。方法　回顾性分析 4年来我院血吸虫病性肝硬化伴胆囊结石行胆囊切除术 2 65例的临床资料。行LC的 74例 ,与常规开腹手术 (OC )组进行对比 ,比较两组术中出血量、手术时间、住院时间、并发症、术后恢复情况等。结果　手术平均时间LC组为 63min ,OC组为 5 3min ;平均术后住院时间LC组为 1.2d ,OC组为 8.9d ;平均手术出血量LC组为 15 .6ml ,OC组为 85ml ;LC组中转手术 6例 ( 8.1% ) ,无 1例发生并发症 ;OC组术后胆漏 1例。结论　血吸虫病性肝硬化胆结石患者只要严格掌握腹腔镜手术适应证 ,采取正确的手术操作方法 ,LC是安全可行的。Objective To study the effect of laparoscopic cholecystectomy(LC) in the treatment of patients with schistosomiasis hepatic cirrhosis(SHC) complicated with symptomatic gallstone. Methods The clinical data of 256 cases of SHC with symptomatic gallstone underwent cholecystectomy in recent 4 years in our hospital were reviewed retrospectively. Of them, 74 underwent LC , which was compared with the cases who underwent open cholecystectomy(OC) in operation time, operative heamorrage,operative complications, and hospital stay.Results The operation time in LC group and OC group was 63 min and 54 min respectively; the operative bleeding of LC group was 15.6ml, OC group 85 ml;and hospital stay was 1.2days in LC group,8.9 days in OC group。Six cases of LC group was converted to OC.None had postoperative complications in LC group; but 1 case in OC group had bile leakage. Conclusions With strict the operative indications and proper operative method,LC in the treatment of SHC patients with gallstone is safe and feasible.

关 键 词：胆汁性肝硬化 胆囊切除术 腹腔镜 血吸虫病 并发症 胆结石 适应证 

分 类 号：R657.31[医药卫生—外科学] R532.21[医药卫生—临床医学]