摘要
目的总结肝硬化合并胆囊结石患者行腹腔镜胆囊切除术(LC)的临床经验。方法对54例肝硬化合并胆囊结石患者行腹腔镜胆囊切除术的临床资料进行回顾性分析。结果 54例患者手术成功52例,中转开腹2例(术中出血、镜下止血困难1例,胆囊壶腹部结石嵌顿、胆囊三角区致密粘连1例),手术成功率为96.3%。腹腔镜手术时间(60.0±20.5)min,术中出血(100.0±30.0)mL,术后出血>300 mL者2例,均经对症治疗症状消失。术后住院(6.0±2.5)d,均痊愈出院。结论把握手术指征及加强围术期的处理,肝硬化合并胆囊结石患者行LC术是安全可行的。
Objective To summarize the clinical experience with laparoscopic cholecystectomy （LC） in the treatment of cholecystolithiasis associated with liver cirrhosis. Methods Clinical data from 54 patients who underwent LC for cholecystolithiasis associated with liver cirrhosis were retrospectively analyzed. Results Among the 54 patients, 52（96.3%）were successfully treated with LC, and 2 were converted to open operation due to intraoperative bleeding and unsuccessful endoscopic hemostasis（1 case）and impacted ampullary stone and dense adhesions in Calot＇s triangle （1 case）. The operation time, intraoperative blood loss and postoperative hospital stay were （60.0 ＋20.5）minutes, （100.0＋30.0）mL and （6.0＋_2.5）days, respectively. Two patients had postoperative hemorrhage greater than 300 mL and were cured by symptomatic treatment. Conclusion The LC is safe and effective for cholecystolithiasis associated with liver cirrhosis through mastering indications for surgery and strengthening perioperative treatment.
出处
《实用临床医学（江西）》
CAS
2012年第10期64-65,80,共3页
Practical Clinical Medicine
关键词
腹腔镜胆囊切除术
胆囊结石
肝硬化
laparoscopic cholecystectomy
cholecystolithiasis
liver cirrhosis
