摘要
目的探讨肝硬化失代偿期腹腔镜下胆囊切除术的临床可行性。方法选择患者61例,分为两组,观察组使用腹腔镜手术,对照组实施开腹治疗,比较两组手术相关因素,如手术时间、术中出血、术后住院时间等,并统计两组发生的并发症情况。结果观察组手术时间短于对照组(P<0.05),术中出血少于对照组(P<0.05),术后住院时间短于对照组(P<0.05),观察组发生术中胆管损伤及术后肝性脑病的比率显著低于对照组(P<0.05)。结论肝硬化失代偿期实施腹腔镜胆囊切除术并非绝对禁忌证,术中仔细操作,适当降低气腹压力,是保证手术成功的关键。
Objective To investigate the feasibility of cholecystectomy for decompensated cirrhosis laparoscopic. Methods 61 cases were divided into two groups, the observation group used laparoscopic surgery, the control group received open treatment, then surgery-related factors, such as operative time, blood loss, postoperative hospital stay, and two sets of statistics complications occurred were compared in the two groups. Results The observation group with operative time was shorter than control group （P〈0.05）, blood was loss than control group（P〈0.05）, hospital stay time was shorter than control group（P〈0.05）, the occurrence of intraoperative bile duct injury postoperative hepatic encephalopathy ratio was lower than control group（P 〈 0.05）. Conclusion Cholecystectomy for decompensated cirrhosis laparoscopic is not an absolute contraindication, intraoperative careful operation and lower pneumoperitoneum pressure can ensure that to be successful.
出处
《中国医药科学》
2013年第24期180-181,共2页
China Medicine And Pharmacy
关键词
肝硬化
失代偿
腹腔镜
胆囊切除术
Cirrhosis
Decompensation
Laparoscopic
Cholecystectomy
