|
|||||
|
|
| 肝硬化患者行腹腔镜胆囊切除术78例报告 | |
| 引用本文： | 李春生,袁浩,瞿惠龙,丁育明,闵志均. 肝硬化患者行腹腔镜胆囊切除术78例报告[J]. 中国微创外科杂志, 2011, 11(7): 598-600 |
| 作者姓名： | 李春生 袁浩 瞿惠龙 丁育明 闵志均 |
| 作者单位： | 复旦大学附属华山医院南汇分院普外科,上海,201300 |
| 摘 要： | 目的探讨肝硬化合并胆囊结石患者行腹腔镜胆囊切除术（1aparoscopie cholecystectomy，LC）的可行性。方法2000年5月～2010年5月，78例肝硬化合并胆囊结石行四孔法LC，全麻，术前、术后加强保肝治疗。结果76例成功完成LC，手术时间20～110min，平均37min；术中出血量10～200ml，平均35ml。2例因术中出血，中转开腹完成胆囊切除术。术后出现胆囊床渗血6例、肝功能障碍12例、感染13例。74例平均随访13个月（6～24个月），症状消失，无胆道并发症发生，14例有慢性腹水等肝功能不全表现，内科治疗好转但易复发。结论对肝功能ChildA、B级肝硬化合并胆囊结石的患者施行LC是安全可行的，可作为肝硬化合并胆囊结石的首选术式。 |
| 关 键 词： | 肝硬化 腹腔镜胆囊切除术 |
Laparoscopic Cholecystectomy for Patitents with Liver Cirrhosis:Report of 78 cases |
|
| Li Chunsheng,Yuan Hao,Qu Huilong,et al.. Laparoscopic Cholecystectomy for Patitents with Liver Cirrhosis:Report of 78 cases[J]. Chinese Journal of Minimally Invasive Surgery, 2011, 11(7): 598-600 | |
| Authors: | Li Chunsheng Yuan Hao Qu Huilong et al. |
| Affiliation: | Li Chunsheng,Yuan Hao,Qu Huilong,et al.Department of General Surgery,Nanhui Branch of Huashan Hospital,Fudan University,Shanghai 201300,China |
| Abstract: | Objective To investigate the feasibility of laparoscopic cholecystectomy(LC)for patients with gallstone complicated with liver cirrhosis.Methods Seventy-eight cases who suffered gallstone complicated with liver cirrhosis were treated by LC from May 2000 to May 2010.Under general anesthesia,the operation was performed with four trocars.All the cases received liver-protective therapy before and after the operation.Results LC was completed in 76 of the patients in a mean of 37 min(20 to 110 min).The mean intra... |
| Keywords: | Liver cirrhosis Laparoscopic cholecystectomy |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |