肝硬化病人的腹腔镜胆囊切除术

Laparoscopic cholecystectomy for patients with liver cirrhosis

目的 评价肝硬化病人腹腔镜胆囊切除术的安全性。方法 回顾性分析 31例ChildA、B级肝硬化病人腹腔镜胆囊切除术的临床资料。结果 无中转开腹 ,手术时间平均 37min ,术中出血平均 5 5ml。无术后出血、腹腔内感染及肝昏迷等并发症发生。术后平均住院 3.7d。结论 对于ChildA、B级的肝硬化病人 ,腹腔镜胆囊切除术是一种安全可行的微创手术。

Objective To evaluate the safety of laparoscopic cholecystectomy for patients with liver cirrhosis.Methods\ Laparoscopic cholecystectomy were performed in 31 patients with liver cirrhosis of Child A and B in recent three years, clinical data were reviewed retrospectively.Results\ None of patients was converted to open procedure. The average operative time was 37 min and the average blood loss was 55 ml. No bleeding, intra-abdominal infection and hepatic coma occurred postoperatively. The average days in hospital post-operation were 3.7 days.Conclusion\ Laparoscopic cholecystectomy is a feasible and safe mini-invasive operation in patients with liver cirrhosis Child A and B.