摘要
目的比较腹腔镜胆囊切除术(LC)和剖腹胆囊切除术(OC)在合并肝硬化患者治疗中的应用。方法1995年10月-2003年6月行胆囊切除术的肝硬化患者共55例,其中LC组26例,OC组29例,观察两组患者的术中出血量、手术时间、住院天数和术后并发症发生率,并行统计学分析比较。结果LC组术中出血量、手术时间和住院时间分别为(102.69±53.78)mL、(53.19±20.77)min、(6.65±1.98)d,OC组分别为(151.72±61.94)mL、(77.76±22.16)min、(10.24±2.60)d,两组比较均有显著性差异(P<0.05);两组患者均无严重手术并发症和手术死亡。结论在治疗合并肝硬化(Child-Pugh分级为A级和B级)胆囊结石患者中,LC较OC更安全,具有出血少、手术时间和住院时间短等优点。
Objective To investigate the benefits and the risks of laparoscopic cholecystectomy (LC) and open cholecystectomy (OC) in patients with liver cirrhosis. Methods Fifty-five cases with liver cirrhosis who underwent cholecystectomy were retrospectively analyzed. These cases were respectively divied into LC group (n =26) and OC group (n =29) , to compare surgical time, intraoperative blood loss, duration of hospital stay. Results Surgical time was shorter in LC group than in OC group(53. 19±20. 77) min vs (77. 76±22. 16) min (P<0.05). Intraoperative bleeding was less in LC group as compared with OC group(102. 69±53. 78) mL vs (151. 72±61. 94) mL (P <0.05). The hospital stay in group LC was shorter when compared with group OC (6.65 ±1.98) A vs (10.24±2.60) d (P < 0.05). There was no operative mortality except a few severe complications. Conclusion LC could be safely performed in patients with liver cirrhosis ( Child Pugh A or/and B degree). It has several benefits over OC , including less intraoperative bleeding, shorter operative time and fewer complications.
出处
《上海第二医科大学学报》
CSCD
2004年第6期463-465,共3页
Acta Universitatis Medicinalis Secondae Shanghai
