胆囊结石合并肝硬化患者腹腔镜胆囊切除术36例临床分析

The Gallbladder Stone with Clinical Analysis of 36 Cases of Laparoscopic Cholecystectomy in Patients with Cirrhosis

目的：探讨肝炎后肝硬化并发胆囊结石患者行胆囊切除术（LC）的可行性、安全性。方法对接受LC的36例胆囊结石合并肝炎后肝硬化患者的治疗结果进行回顾性分析。结果 LC成功36例，无中转开腹。LC平均手术时间（53.5±10.7）min，术中平均出血（70.6±16.6）ml。术中无损伤，术后泌尿系感染1例，肺部感染1例，出血1例。无肝功能衰竭等严重并发症，患者均经保守治疗后治愈出院，术后平均住院5～12天。结论对于肝功能处于ChildA、B级的肝硬化患者，详细评估其适应证以及进行充分的围手术期治疗，行LC是安全的。

Objective To explore the concurrent posthepatitic cirrhosis patients with gallbladder stone row the feasibility of the cholecystectomy （LC）, security.Methods To accept the LC of 36 cases of gallbladder stone with posthepatitic cirrhosis patients with the treatment results were retrospectively analyzed.Results LC successfully 36 cases, no transfer laparotomy. LC average operation time （53.5±10.7） min, average intraoperative bleeding ml soil （70.6±70.6）. Intraoperative injury, postoperative urinary tract infection in 1 case, pulmonary infection in 1 case, bleeding in 1 case. No serious complication such as liver failure, patients were cured by conservative treatment after hospital discharge, average hospitalization after 5-12 days.Conclusion For patients with cirrhosis liver function in a ChildA, class B, detailed evaluate the indications and sufficient perioperative treatment, LC is safe.