肝硬化；胆囊结石；胆囊切除术_腹腔镜_

腹腔镜胆囊切除术在肝硬化患者中的应用(附57例报告)

http://www.100md.com 《腹腔镜外科杂志》 2006年第5期

肝硬化；胆囊结石；胆囊切除术,腹腔镜,,肝硬化；胆囊结石；胆囊切除术，腹腔镜,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：探讨合并肝硬化患者腹腔镜胆囊切除术(LC)的可行性与技术特点。方法：回顾分析57例合并肝硬化患者LC的临床资料。结果：成功56例，1例因术中出血，镜下止血困难中转开腹。术中无损伤。术后胆囊窝积液1例，经保守治疗8d后完全吸收。腹水增多1例，无腹腔及消化道出血、肝功能衰竭等严重并发症，患者均治愈出院。结论：肝硬化患者行LC是相对安全的，掌握手术的技术特点、注重围手术期的处理及Childpush分级是成功的关键。

    【关键词】肝硬化；胆囊结石；胆囊切除术，腹腔镜

    Application of laparoscopic cholecystectomy in cirrhotic patients：with a report of 57 cases

    LI Yiting，DENG Rongwen，MA Zutai.

    Fengxian People's Hospital of Jiangsu Province,Fengxian 221700，China；The Third People's Hospital of Xuzhou

    【Abstract】 Objective:To evaluate the feasibility and technical characteristics of laparoscopic cheolecystectomy(LC) in cirrhotic patients.Methods:The clinical data of 57 cirrhotic patients received LC was retrospectively analyzed.Results:LC was successfully performed in 56 patients except that 1 case was converted to laparotomy for bleeding.No injury occured during the operation.One case who complicated with hydrops in the gallbladder bed was cured through conservative treatment 8 days later.Ascites increased in one case,but no bleeding of abdominal cavity and upper digestive tract,and failure of liver function were found in all cases.Conclusions:LC for cirrhotic patients is relatively safe.It is important to know the technical characteristics and to pay attention to the perioperative management and Childpush classification. ......

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