胆囊结石合并肝硬化患者行腹腔镜手术与开腹胆囊切除术效果对比研究

Comparative study of laparoscopic cholecystectomy and open cholecystectomy in treatment of Cholelithiasis complicated with liver cirrhosis

目的观察腹腔镜手术治疗胆囊结石合并肝硬化的临床疗效。方法胆囊结石合并肝硬化患者56例随机分为观察组和对照组各28例,观察组采用腹腔镜手术,对照组采用常规开腹手术。观察比较2组患者手术时间、术中出血量、术后禁食时间、住院时间及并发症发生情况。结果观察组术中出血量、手术时间、术后禁食时间、住院时间均少于对照组,并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论腹腔镜手术治疗胆囊结石合并肝硬化安全有效。

Objective To observe the clinical effect of laparoscopic cholecystectomy in treatment of Cholelithiasis complicated with liver cirrhosis.Methods 56 patients with cholelithiasis and liver cirrhosis were randomly divided into the observation group and the control group with 28 cases in each group.The observation group were treated with laparoscopic operation,while the control group were treated with conventional open operation.Operation time,intraoperative blood loss,postoperative fasting time,length of hospital stays and complication of 2 groups were observed and compared.Results The operation bleeding volume,operation time,postoperative fasting time,and hospitalization time in observation group were less than those in the control group,the complication rate was lower than that of the control group,and the difference was statistically significant（P〈0.05）.Conclusion Treating Cholelithiasis complicated with liver cirrhosis with laparoscopic cholecystectomy is safe and effective.