A Comparison of changes of serum ALT, AST after laparoscopic cholecystectomy with cautery or microscissors
- VernacularTitle:腹腔镜下电刀与剪刀切除胆囊术后血清ALT、AST水平变化的比较
- Author:
Zhengdong ZHOU
;
Xunru CHEN
;
Ding LOU
- Publication Type:Journal Article
- Keywords:
Laparoscopic cholecystectomy Gautery Alanineotransaminease Asparaginotransaminase
- From:
Chinese Journal of Minimally Invasive Surgery
2001;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the reasons for the changes of serum ALT, AST after laparoscopic cholecystectomy. Methods 69 patients admitted in Oct, 1999 were randomly divided into two groups. The gallbladder was resected with monopolar cautery laparoscopically and cystic bed was routinely coagulated in 35 patients, group a. The gallbladder was removed with microscissors and the cystic artery was clipped with titanium clip in 34 patients, group B. Hepatic tissue in bulk of 1cm X 1cm and close to the gallbladder bed was sampled for histological study for all patients in the two groups. The serum ALT and AST levels were measured on the 1st, 5th ,postoperative day. Results Comparing with group B, the serum ALT and AST levels in group A were significantly higher on the 1th postoperative day ( P
