腹腔镜胆囊切除治疗肝硬化合并胆结石疗效分析

Efficacy analysis of laparoscopic cholecystectomy for gallbladder stones complicated with liver cirrhosis

目的探讨腹腔镜胆囊切除术(LC)治疗肝硬化合并胆囊结石的可行性、安全性。方法分析了106例肝硬化合并胆囊结石患者行腹腔镜胆囊切除术的临床资料。结果 101例完成腹腔镜胆囊切除术,手术时间25～110min,平均36min,5例中转开腹胆囊切除术,并发症包括出血、腹腔积液,无胆漏发生。全部病人均治愈。结论 LC治疗肝硬化合并胆囊结石患者是安全的,可行的。

Objective To explore the feasibility and safety of laparoscopic cholecystectomy（LC） treatment of cirrhosis of the liver with gallbladder stones.Methods We reviewed the clinical data of 106 cases of the liver cirrhosis with gallbladder stones underwent laparoscopic gallbladder removed.Results LC was completed in 101 of patients,operative time was 25-110min,the average operation time was 36min,5 cases were converted to open cholecystectomy,complications can include bleeding,ascites,bile leakage.All patients were cured.Conclusion LC treatment of cirrhosis of the liver with gallbladder stone patients is safe and feasible.