血吸虫病肝硬化患者行腹腔镜胆囊切除术的治疗体会

Treatment experience of laparoscopic cholecystectomy for schistosomiasis cirrhosis patients

目的：探讨血吸虫病肝硬化患者行腹腔镜胆囊切除术（1aparoscopiccholecystectomy，LC）的方法及安全性。方法：回顾分析2001年-8月至2009年8月为73例血吸虫病肝硬化合并胆囊炎、胆囊结石患者行LC的临床资料。结果：腹腔镜下成功切除胆囊70例，平均手术时间35min，术中出血50～100ml，3倒中转开腹，全组患者均痊愈出院。结论：血吸虫病肝硬化患者行LC安全可行，但要掌握腹腔镜手术的操作技巧、手术指征及围手术期处理原则。

Objective ：To explore the method and safety of laparoseopic cholecystectomy （LC） in schistosomiasis cirrhotic patients. Methods： Clinical materials of 73 schistosomiasis cirrhotic patients who suffered from cbolecystitis and cbolecystolithiasis and treated by LC during Aug. 2001 and Aug. 2009 were retrospectively analyzed. Results ： LC was successfully accomplished in 70 cases and a conversion to open surgery was required in 3 cases, in the 70 cases, the average operation time was 35min and the intraoperative bleeding was 50-100ml. All patients recovered and discharged. Conclusions： Under good prehension of laparoscopic operation technique, surgical indications and perioperative management principle, LC for schistosomiasis cirrhotic patients is safe and feasible.