胆囊结石并肝硬化行腹腔镜与开腹胆囊切除比较

A comparison of laparoscopic cholecystectomy and open cholecystectomy for patients with gall bladder stone associated with liver cirrhosis

目的对比合并肝硬化的胆囊结石症行腹腔镜胆囊切除与开腹胆囊切除术的疗效。方法回顾性分析我院1999～2004年25例合并肝硬化的症状性胆囊结石患者,其中13例行LC,12例行OC。结果13例LC患者1例出现肺部感染;12例OC患者术后切口感染1例,肺部感染3例,切口渗液4例,尿路感染3例;术中出血量LC组明显少于OC组P<0.0.5;术后住院时间LC组明显短于OC组P<0.0.5。结论LC治疗合并肝硬化的症状性胆囊结石症,具有明显的优点,与OC相比,LC手术时间短,手术出血量少,术后并发症发生率低,同时缩短了住院时间,在肝硬化ChildA鄄B级病人中安全可靠。

Objective To compare the efficacy of laparoscopic cholecystectomy (LC)and open cholecystectomy(OC) for patients with gall bladder stone associated with liver cirrhosis. Methods From January 1999 to April 2004,25 cases with gallbladder stone associated with liver cirrhosis were analyzed retrospectively.Among them,13 cases underwent LC and 12 cases underwent OC. Results In LC group,pulmonary infection was found only in 1 case after operation.While,in OC group, pulmonary infection was found in 3 cases, wound infection 1 cases, wound exudation 4 cases and urinary infection 3 cases. Conclusion LC has advantages of shorter operative time,less volume of bleeding,low postoperative complications and a short hospitalization time.It is a safe and reliable operation for patients with child′s grade A～B of liver cirrhosis.