腹腔镜胆囊切除术对患者肝脏功能的影响观察

Effect observation of laparoscopic cholecystectomy for patients of liver function

目的探讨腹腔镜胆囊切除术对患者肝功能的影响。方法对本院收治的40例腹腔镜胆囊切除术患者和40例行传统开腹胆囊切除术患者的临床资料进行回顾性分析,对两组患者术前和术后第2、7天的肝功能情况进行比较。结果术后第2天肝功能指标均有所上升,两组间TBIL、ALT、AST及GGT比较,差异有统计学意义(P<0.05)。术后第7天两组患者的肝功能指标均下降,两组间比较差异无统计学意义(P>0.05)。结论腹腔镜胆囊切除术与传统开腹胆囊切除术,对患者肝功能的影响均较小。

Objective To study the influence of laparoscopic cholecystectomy to the patients with liver function.Methods The clinical data of forty cases treated with laparoscopic cholecystectomy and 40 patients treated with routine traditional open cholecystectomy in our hospital were retrospectively analyzed,the liver function instance of patients in preoperative and postoperative 2,7 days were compared beteeen the two groups.Results The liver function indexes in the second day after operation,the TBIL,ALT,AST and GGT compared between the two groups,their difference was statistically significant（P 〈0.05）.The liver function index in seventh day between the two groups of patients were decreased,difference was not statistically significant between the two groups（P 〈0.05）.Conclusion Laparoscopic cholecystectomy compare the traditional open surgery,the influence of the liver function of patients are smaller.