Laparoscopic surgical treatment for schistosomiasis liver fibrosis portal hy-pertension combined with calculous cholecystitis
- VernacularTitle:腹腔镜手术治疗血吸虫病肝纤维化门静脉高压合并胆囊结石
- Author:
Lan ZHANG
;
Xiong LIU
;
Huaming ZHANG
;
Qingshan WANG
- Publication Type:Journal Article
- Keywords:
Schistosomiasis;
Liver fibrosis;
Portal hypertension syndrome;
Gallbladder stone;
Cholecystectomy;
Laparosco-py
- From:
Chinese Journal of Schistosomiasis Control
2014;(2):230-231,233
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the curative effect of laparoscopic cholecystectomy(LC)in the treatment of schistosomia-sis liver fibrosis portal hypertension combined with calculous cholecystitis. Methods The clinical data of 196 cases of schistoso-miasis liver fibrosis portal hypertension combined with calculous cholecystitis(Child A 160 cases,Child B 36 cases)treated with LC were collected and analyzed from June 2006 to June 2013. Results Among the 196 cases,there were 154 cases of schistoso-miasis liver fibrosis portal hypertension combined with chronic calculous cholecystitis,and 42 cases of schistosomiasis liver fibro-sis portal hypertension combined with acute calculous cholecystitis. Totally 189 patients underwent LC successfully,but 7 were transited to the general operation because of LC failure,including 3 cases of adhesion around gallbladder and ambiguous dissec-tion of gallbladder triangle,and 4 cases of intraoperative bleeding and the bleeding was difficult to stop under the laparoscopy. All the 196 patients were cured. Conclusion LC is effective and safe in the treatment of schistosomiasis liver fibrosis portal hyperten-sion combined with calculous cholecystitis.
