胆石症合并肝硬化患者应用腹腔镜胆囊切除术的疗效分析

目的 探讨胆石症合并肝硬化患者行腹腔镜胆囊切除术(LC)的疗效.方法 回顾性分析50例胆石症合并肝硬化患者的临床资料,分别进行LC(LC组,23例)或开腹胆囊切除术(OC组,27例),比较两组患者的手术时间、术中出血量、住院时间和并发症发生情况.结果 LC组手术时间(43.2±15.6)min]、术中出血量(78.3±22.5)ml]和住院时间(5.7±2.5)d]均明显优于对照组分别为(77.4±21.2)min、(195.7±32.4)ml、(93±3.2)d],差异有统计学意义(P＜0.05);两组术后并发症主要为脱水和尿路感染,但发生率组间比较差异无统计学意义(P＞0.05).两组术后均无其他严重并发症和死亡病例出现.结论 对于Child-Pugh A、B级的胆石症合并肝硬化患者而言,LC是一种安全可行的微创手术,值得临床推广应用.

Efficacy of laparoscopic cholecystectomy for the treatment of patients with cholelithiasis complicating liver cirrhosis

Objective To investigate the efficacy of laparoscopic cholecystectomy (LC) for the treatment of patients with cholelithiasis complicating liver cirrhosis. Methods The clinical data of 50 patients with cholelithiasis complicating liver cirrhosis were analyzed retrospectively, who received LC (LC group,23 cases) or open cholecysteetomy (OC group,27 cases). Summarized and compared with operation time, blood loss,length of stay and complications of two groups. Results Operation time,blood loss and length of stay in LC group (43.2 ± 15.6) min, ( 78.3 ± 22.5 ) ml, (5.7 ± 2.5 ) d] were significantly less than those in control group (77.4 ±21.2) min, (195.7 ±32.4) ml, (9.3 ±3.2) d.], the differences were statistically significant (P ＜ 0.05). The mainly post-operative complications were dehydration and urinary tract infection, but the incidence rate had no statistically significant difference between two groups (P ＞ 0.05 ).There was no other severe complications and death case occurred postoperation in two groups. Conclusion For patients with cholelithiasis complicating liver cirrhosis in Child-Pugh A and B class, LC is a safe and feasible minimally invasive surgery, it is worthy to be popularized.