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肝硬化门静脉高压症患者腹腔镜胆囊切除术的临床研究 被引量:5

Clinical study on laparoscopic cholecystectomy in patients with cirrhosis and portal hypertension
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摘要 为探讨合并肝硬化门静脉高压(CPH)患者腹腔镜胆囊切除术(LC)的手术适应证、可行性及手术难点.笔者回顾性分析37例CPH行LC患者的临床资料,记录术中出血量、手术时间、术后住院天数以及术后并发症,分析术前、术中及术后的处理方法.结果示37例CPH患者LC手术完成35例,因Mirizzi综合征、胆管结石中转开腹各1例.手术时间(72.6±25.2)min;术中出血5~120mL,平均55 mL;平均住院时间(3.0±1.5)d.术后4例发生并发症.提示如能熟练掌握手术的技术特点及和围手术期处理,对CPH患者行LC是安全可行的.
出处 《中国普通外科杂志》 CAS CSCD 2006年第8期628-629,共2页 China Journal of General Surgery
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参考文献6

  • 1Urban L,Eason GA,ReMine S,et al.Laparoscopic cholecystectomy in patients with early cirhosis[J].Curr Surg,2001,58(3):312-315.
  • 2Tuech JJ,Pessaux P,Regenet N,et al.Laparoscopic cholecystectomy in cirrhotic patients[J].Surg Laparosc Endosc Percutan Tech,2002,12(4):227-231.
  • 3罗丁,陈训如,余少明,毛静熙,李胜宏,周正东.肝硬变病人腹腔镜胆囊切除术92例临床分析[J].中国实用外科杂志,2001,21(10):587-589. 被引量:23
  • 4Holthausen UH,Nagelchimmidt M,Troidl H.CO2 pnumoperitoneum; what we know and what we need to know[J].World J Surg,1999,23(8):794-798.
  • 5Windsor MA,Bonham MJ,Rumball M.Splanchnic mucosal ischemia:an unrecognized consequence of routine pnumoperitoneum[J].Surg Laparosc Endosc Percutan Tech,1997,7(6):480-485.
  • 6闫宏宪,罗丁,陈训如,查勇.CO_2气腹对肝硬变大鼠肠黏膜通透性影响的实验研究[J].中国普外基础与临床杂志,2005,12(6):548-550. 被引量:6

二级参考文献9

  • 1陈训如,微创胆道外科手术学,2000年,123页
  • 2Paul A, Troidl H, Peters S, et al. Fatal intestinal ischaemia following laparoscopic cholecystectomy [J]. Br J Surg, 1994; 81(8): 1207
  • 3Kuriyama S, Yamazaki M, Mitoro A, et al. Hepatocellular carcinoma in an orthotopic mouse model metastasizes intrahepatically in cirrhotic but not in normal liver [J]. Int J Cancer, 1999; 80(3): 471
  • 4Holthausen UH, Nagelschmidt M, Troidl H. CO2 pneumoperitoneum: what we know and what we need to know [J]. World J Surg, 1999; 23(8): 794
  • 5Joris JL, Chiche JD, Canivet JL, et al. Hemodynamic changes induced by laparoscopy and their endocrine correlates: effects of clonidine [J]. J Am Coll Cardiol, 1998; 32(5): 1389
  • 6Mikami O, Kawakita S, Fujise K, et al. Catecholamine release caused by carbon dioxide insufflation during laparoscopic surgery [J]. J Urol, 1996; 155(4): 1368
  • 7Windsor MA, Bonham MJ, Rumball M. Splanchnic mucosal ischemia: an unrecognized consequence of routine pneumoperitoneum [J]. Surg Laparosc Endosc, 1997; 7(6): 480
  • 8Bloechle C, Emmermann A, Treu H, et al. Effect of a pneumoperitoneum on the extent and severity of peritonitis induced by gastric ulcer perforation in the rat [J]. Surg Endosc, 1995; 9(8): 898
  • 9Chiva M, Soriano G, Rochat I, et al. Effect of Lactobacillus johnsonii La1 and antioxidants on intestinal flora and bacterial translocation in rats with experimental cirrhosis [J]. J Hepatol, 2002; 37(4): 456

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