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腹腔镜手术治疗合并肝硬变结石性胆囊炎

Laparoscopic cholecystectomy in calculus cholecystitis complicated with cirrhosis.
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摘要 目的总结腹腔镜手术治疗合并肝硬变结石性胆囊炎的体会。方法 4 5例结石性胆囊炎均合并有不同程度肝硬变 ,其中 4 1例腹腔镜下行胆囊切除 ,2例胆囊切除加胆总管切开胆道镜探查T管引流术 ,2例开腹行胆囊切除加胆总管切开取石T管引流术。结果 4 5例均治愈。手术时间平均 32分钟 ,平均住院 5天。结论腹腔镜胆囊切除术创伤小、痛苦少、恢复快 ,几乎不出血 ,特别适应于合并肝硬变的结石性胆囊炎腹腔镜手术治疗。 Objective To summarize the experiences of laparoscopic cholecystectomy in treating calculus cholecystitis complicated with cirrhosis. Methods Of 45 calculus cholecystitis patients complicated with cirrhosis, 41 experienced laparoscopic cholecystectomy , 2 experienced cholecystectomy and choledochotomy for bile duct exploration of T tube drainage, and 2 experienced cholecystectomy and Choledocholithotomy of T tube drainage. Results 45 cases were cured on an average time of 32 minutes for operation and on an average hospitalization time of 5 days. Conclusion Laparoscopic cholecystectomy is applicable to the laparcoscopic treatment of calculus cholecystitis complicated with cirrhosis, with slight injury, less pain, quick recovery and few hemorrhage.
出处 《中国综合临床》 北大核心 2003年第9期830-831,共2页 Clinical Medicine of China
关键词 肝硬变 腹腔镜手术 性胆囊炎 结石 Cirrhosis Laparoscopic cholecystectomy Calculus cholecystitis
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