肝硬化患者行急诊腹腔镜胆囊切除术临床分析

Cirrhotic Patients Undergoing Emergency Laparoscopic Cholecystectomy Clinical Analysis

目的:探讨肝硬化患者行急诊腹腔镜胆囊切除术的可行性。方法:对2010年5月-2014年3月8例肝硬化患者行急诊腹腔镜胆囊切除术进行回顾分析。结果:8例肝硬化胆囊结石急性发作患者,除1例因术中胆囊床扩张的门静脉分支出血而中转开腹,其余7例均顺利实施腹腔镜胆囊切除术,手术成功率为87.5%。结论:对急性胆囊炎合并肝硬化患者,术前进行评估,选择合适病例施行腹腔镜胆囊切除术是安全可行的。

Objective：To explore the feasibility of laparoscopic cholecystectomy in patients with liver cirrhosis of emergency.Method：From May 2010 to March 2014 8 cirrhotic patients who underwent emergent laparoscopic cholecystectomy were retrospectively analyzed.Result：In 8 cases of liver cirrhosis gallstone acute attack patients,except 1 case conversioned to open surgery because of the branch of portal vein dilatation of gallbladder bed bleeding,the other 7 cases were successfully implemented by laparoscopic cholecystectomy,the success rate of operation was 87.5%.Conclusion：Of the patients with acute cholecystitis complicated with liver cirrhosis,preoperative evaluation,appropriate cases laparoscopic cholecystectomy is safe and feasible.