BACKGROUND: Liver cirrhosis and cholelithiasis are both familiar diseases in China. However, the rates of operative complications and death are still high in patients with these diseases. This study was designed to de...BACKGROUND: Liver cirrhosis and cholelithiasis are both familiar diseases in China. However, the rates of operative complications and death are still high in patients with these diseases. This study was designed to determine the operative indications as well as suitable procedures in the treatment of patients with cholelithiasis and liver cirrhosis. METHODS: We studied retrospectively 60 patients with cholelithiasis and liver cirrhosis who had undergone operation from January 2000 to July 2006. We analyzed the loss of blood during operation, postoperative complications and death rate to determine the proper treatment. RESULTS: Fifty patients were cured and 10 (16.7%) died postoperatively, i.e., six patients died from hepatic-renal failure and multisystem organ dysfunction and 4 from massive bleeding in the gallbladder bed. The 10 patients were clearly correlated with the Child-Pugh classification: Child A (8%), Child B (20%) and Child C (30%). Postoperative bleeding occurred in 10 patients (16.7%), intraabdominal in 6 and gastrointestinal in 4. Seven of the 10 patients with bleeding died postoperatively. CONCLUSIONS: The proper perioperative management of patients with cholelithiasis and liver cirrhosis can decrease the mortality. Cholelithiasis should be managed first by emergency operation. It is safe for the patients of Child A to undergo laparoscopy. It is very safe for patients with cirrhosis and cholelithiasis to undergo devascularization and shunt operation followed by biliary tract surgery.展开更多
目的探讨微创手术治疗高血压脑出血患者的手术时机、手术方式与疗效的关系。方法对我院2005年1月至2007年12月58例行微创手术治疗的高血压脑出血患者进行回顾性总结与分析。结果58例患者生存45例,生存率77.6%。生存的45例,术后随访6个...目的探讨微创手术治疗高血压脑出血患者的手术时机、手术方式与疗效的关系。方法对我院2005年1月至2007年12月58例行微创手术治疗的高血压脑出血患者进行回顾性总结与分析。结果58例患者生存45例,生存率77.6%。生存的45例,术后随访6个月以上,根据日常生活活动能力(activity of daily living,ADL)分级法,Ⅰ级12例,Ⅱ级16例,Ⅲ级9例,Ⅳ级6例,Ⅴ级2例。结论高血压脑出血患者手术时机、手术方式的选择是手术治疗效果的关键因素。展开更多
文摘BACKGROUND: Liver cirrhosis and cholelithiasis are both familiar diseases in China. However, the rates of operative complications and death are still high in patients with these diseases. This study was designed to determine the operative indications as well as suitable procedures in the treatment of patients with cholelithiasis and liver cirrhosis. METHODS: We studied retrospectively 60 patients with cholelithiasis and liver cirrhosis who had undergone operation from January 2000 to July 2006. We analyzed the loss of blood during operation, postoperative complications and death rate to determine the proper treatment. RESULTS: Fifty patients were cured and 10 (16.7%) died postoperatively, i.e., six patients died from hepatic-renal failure and multisystem organ dysfunction and 4 from massive bleeding in the gallbladder bed. The 10 patients were clearly correlated with the Child-Pugh classification: Child A (8%), Child B (20%) and Child C (30%). Postoperative bleeding occurred in 10 patients (16.7%), intraabdominal in 6 and gastrointestinal in 4. Seven of the 10 patients with bleeding died postoperatively. CONCLUSIONS: The proper perioperative management of patients with cholelithiasis and liver cirrhosis can decrease the mortality. Cholelithiasis should be managed first by emergency operation. It is safe for the patients of Child A to undergo laparoscopy. It is very safe for patients with cirrhosis and cholelithiasis to undergo devascularization and shunt operation followed by biliary tract surgery.
文摘目的探讨微创手术治疗高血压脑出血患者的手术时机、手术方式与疗效的关系。方法对我院2005年1月至2007年12月58例行微创手术治疗的高血压脑出血患者进行回顾性总结与分析。结果58例患者生存45例,生存率77.6%。生存的45例,术后随访6个月以上,根据日常生活活动能力(activity of daily living,ADL)分级法,Ⅰ级12例,Ⅱ级16例,Ⅲ级9例,Ⅳ级6例,Ⅴ级2例。结论高血压脑出血患者手术时机、手术方式的选择是手术治疗效果的关键因素。
