腹腔镜胆囊切除术治疗胆囊结石合并肝硬化30例的疗效分析

30 cases efficacy analysis of laparoscopic cholecystectomy for gallstone cirrhosis

目的分析与总结腹腔镜胆囊切除术治疗胆囊结石合并肝硬化的临床疗效,为临床提供参考依据。方法回顾性分析30例采用腹腔镜胆囊切除术治疗胆囊结石合并肝硬化的病例资料,对围手术期和手术的处理方法、效果等进行分析总结。结果 30例患者全部治愈,手术时间平均66min;术后所有患者恢复良好,无胆管损伤、出血及感染等并发症发生,8例患者术后进行了腹腔引流,无腹腔感染发生;住院8～25d,平均13.5d。结论术前重视肝功能检查、胆囊病变程度,采取积极的预防措施,采用腹腔镜胆囊切除术治疗肝硬化并胆结石是安全的,且效果良好。

Objective Analysis and summary the clinical efficacy of laparoscopic cholecystectomy for Gallstone Cirrhosis,as basis for clinical reference.Methods Retrospective analysis of 30 cases information of laparoscopic cholecystectomy for gallstone cirrhosis,from the perioperative and surgical approach and effects to analyze and summarize.Results 30 patients were cured,the average operation time was 66min;all the patients recovered well after surgery,no bile duct injury,bleeding and infection complications,8 patients had postoperative abdominal drainage and no abdominal infection;hospitalized for 8 to 25 days average of 13.5 days.Conclusion Emphasis on liver function tests before surgery,gallbladder disease extent,to take active preventive measures,the use of laparoscopic cholecystectomy in treatment of liver cirrhosis and gallstones are safe and effective.