Efficacy of laparoscopic cholecystectomy for the treatment of patients with cholelithiasis complicating liver cirrhosis
10.3760/cma.j.issn.1673-4904.2010.35.008
- VernacularTitle:胆石症合并肝硬化患者应用腹腔镜胆囊切除术的疗效分析
- Author:
Yongchuan HUANG
;
Tanglin JIN
- Publication Type:Journal Article
- Keywords:
Gallstones;
Liver cirrhosis;
Cholecystectomy,laparoscopic
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(35):17-19
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy of laparoscopic cholecystectomy (LC) for the treatment of patients with cholelithiasis complicating liver cirrhosis. Methods The clinical data of 50 patients with cholelithiasis complicating liver cirrhosis were analyzed retrospectively, who received LC (LC group,23 cases) or open cholecysteetomy (OC group,27 cases). Summarized and compared with operation time, blood loss,length of stay and complications of two groups. Results Operation time,blood loss and length of stay in LC group [(43.2 ± 15.6) min, ( 78.3 ± 22.5 ) ml, (5.7 ± 2.5 ) d] were significantly less than those in control group [(77.4 ±21.2) min, (195.7 ±32.4) ml, (9.3 ±3.2) d.], the differences were statistically significant (P ＜ 0.05). The mainly post-operative complications were dehydration and urinary tract infection, but the incidence rate had no statistically significant difference between two groups (P ＞ 0.05 ).There was no other severe complications and death case occurred postoperation in two groups. Conclusion For patients with cholelithiasis complicating liver cirrhosis in Child-Pugh A and B class, LC is a safe and feasible minimally invasive surgery, it is worthy to be popularized.
