腹腔镜外科杂志2012，Vol.17Issue(11)：848-851,4.
肝硬化门脉高压症患者行腹腔镜胆囊切除术的临床体会(附128例报告)
Laparoscopic cholecystectomy for patients with cirrhotic portal hypertention: with a report of 128 cases
董擂 1李克军 1金实 1程雷1
作者信息
- 1. 大连医科大学附属第一医院,辽宁大连,116024
- 折叠
摘要
Abstract
Objective;To evaluate experience on laparoscopic cholecystectomy in patients with cirrhotic portal hypertention and to provide recommendations for management. Methods: Retrospective review of laparoscopic cholecystectomy in 128 patients with cirrhotic portal hypertention from Jan. 2000 to Jan. 2011 in us team was performed. Patients with Child-Pugh's classes A(n =95) were drawn into Group A,while the patients of Child-Pugh's classes B(n =33) were drawn into Group B. The perioperative management and intraoperative matters needing attention were discussed. Results: The mean operation duration and hospital stay of Group A were (31.6±12.5) min and (4.3±1.5) d,while those of Group B were (61.6±24.5) min and (6.3±1.8) d. No conversion nor complications occurred in Group A,3 cases of conversion, 1 case of bile duct injury, 5 cases of ascite and 3 cases of pneumonia occurred in Group B. Conclusions: Laparoscopic cholecystectomy in patients with Child's class A and B is feasible with no mortality and low morbidity. Appropriate preoperative preparations and careful intraoperative techniques are required for better outcomes.关键词
胆囊切除术,腹腔镜/肝硬化/门脉高压症/病例报告Key words
Cholecystectomy,laparoscopic/Cirrhosis/Portal hypertenlion/Case reports分类
医药卫生引用本文复制引用
董擂,李克军,金实,程雷..肝硬化门脉高压症患者行腹腔镜胆囊切除术的临床体会(附128例报告)[J].腹腔镜外科杂志,2012,17(11):848-851,4.
