|本期目录/Table of Contents|

[1]姚 宁,姜朝晖,方晓明,等.腹腔镜胆囊切除术在肝硬化患者中的应用体会[J].医学研究与战创伤救治(原医学研究生学报),2010,12(02):115.
　YAO Ning,JIANG Zhao-hui,FANG Xiao-ming,et al.Experience of laparoscopic cholecystectomy in patients with hepatic cirrhosis[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2010,12(02):115.
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腹腔镜胆囊切除术在肝硬化患者中的应用体会()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第12卷
期数:
2010年02期
页码:
115
栏目:
出版日期:
2010-03-20

文章信息/Info

Title:
Experience of laparoscopic cholecystectomy in patients with hepatic cirrhosis
文章编号:
1672-271X(2010)02-0115-03
作者:
姚 宁; 姜朝晖; 方晓明; 方旭东
310013 浙江杭州，解放军117医院普通外科
Author(s):
YAO Ning; JIANG Zhao-hui; FANG Xiao-ming; FANG Xu-dong.
Department of General Surgery, 117 Hospital of PLA, Hangzhou, Zhejiang 310013, China
关键词:
肝硬化; 腹腔镜; 胆囊切除术
Keywords:
hepatic cirrhosis;  laparoscopy;  cholecystectomy
分类号:
R657.4
DOI:
-
文献标志码:
A
摘要:
目的 总结肝硬化合并胆囊疾病患者行腹腔镜胆囊切除术的临床经验。方法 回顾性分析1995年7月至2008年12月87例伴有肝硬化的胆囊疾病患者行腹腔镜胆囊切除术的临床资料。结果 76例成功行腹腔镜下胆囊切除，6例行胆囊次全切除，5例中转开腹。手术时间18~135 min，平均47.3 min。术中出血15~350 ml，平均52.5 ml。9例术后出现腹水，无胆道损伤、胆漏、腹腔感染及肝功能衰竭等并发症。术后住院3~15天，平均5.7天。结论 经过充分的术前准备，细致的术中操作，恰当的术后处理，肝硬化合并胆囊疾病患者行腹腔镜胆囊切除术是安全的，但对Child C患者应审慎选择。
Abstract:
Objective To summarize the clinical experience of laparoscopic cholecystectomy in patients with hepatic cirrhosis. Methods The clinical data of 87 cases with hepatic cirrhosis was analyzed retrospectively. Results Laparoscopic cholecystectomy was completed in 76 cases, 6 cases received subtotal cholecystectomy, and 5 cases converted to open procedure. The operation time was between18 to 135 minutes (mean was 47.3 minutes). Blood loss ranged from 15 to 350 ml (mean, 52.5 ml). The patients were discharged 3 to 15 days (mean, 5.7 days) after the operation. 9 cases developed ascites postoperatively. No bile duct injury, abdomen infection, and failure of liver function were founds in all patients. Conclusion Laparoscopic cholecystectomy is safe for patients with hepatic cirrhosis if having enough preoperative preparation, careful intraoperative procedure, and proper postoperative treatment.

参考文献/References:

[1]罗 丁,陈训如,余少明,等.肝硬变病人腹腔镜胆囊切除术92例临床分析［J］.中国实用外科杂志,2001,21(10):587-589.
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[3］常 海,刘 君,崔 刚.肝硬化患者行腹腔镜胆囊切除术［J］.腹腔镜外科杂志,2005,10(2):117-119.
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[6］欧阳彦成,侯锡斌. 肝硬化患者行腹腔镜胆囊切除术32例临床分析［J］. 腹腔镜外科杂志,2008,13(3):246-247.
[7］刘 毅,秦明放. 腹腔镜胆囊切除术在肝硬化病人中的应用［J］. 中国实用外科杂志,2006,26(7):514-516.
[8］卢朝德,蔡邢峰,汤卫国. 肝硬化患者的腹腔镜胆囊切除术72例分析［J］. 中国微创外科杂志,2008,8(6):546-547.
[9］梁久银. 腹腔镜胆囊切除术中复杂胆囊的技术对策［J］. 中国微创外科杂志,2006,6(10):730-731.
[10］叶亚林,孙 坚.73例肝硬化患者行腹腔镜胆囊切除术的体会［J］. 临床外科杂志,2008,16(6):431.

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备注/Memo

备注/Memo:
-
更新日期/Last Update: 2010-03-20