Perioperative treatment of intra-and extra-hepatic cholelithinsis in patients with liver cirrhosis
- VernacularTitle:肝内外胆管结石合并肝硬化的围手术期处理
- Author:
Jiqing SHI
;
Ling HOU
;
Changan LIU
;
Jianping GONG
;
Chuanxin WU
- Publication Type:Journal Article
- Keywords:
CHOLELITHIASIS/compl;
LIVER CIRRHOSIS/etiol;
BILE DUCTS,INTRAHEPATIC;
BILE DUCTS,EXTRAHEPATIC
- From:
Chinese Journal of General Surgery
1993;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the perioperative treatment of intra-and extra-hepatic cholelithinsis in patients with liver cirrhosis . Methods The clinical data of intra-and extra-hepatic cholelithinsis in patients with liver cirrhosis in our hospital in resent 10 years was retrospectively analyzed. Results According to the preoperative examation, improving hepatic function(turn child class C to A or B), correcting the coagulation disturbance,decreasing portal vein pressure preoperatively,and proforming operation carefully to reduce bleeding,and giving support treatment and liver care treatment to improve the liver function further postoperatively etc were made.Fifteen cases remained stones, 5 cases appearred chronic liver failure,2 cases appearred kidney failure ,the other 69 cases recovered well. Conclusions If optimizing perioperative treatment is given, favorable effect might be obtained in intra-and extra-hepatic cholelithinsis in patients with liver cirrhosis.
