摘要
目的:研究超声刀在肝硬化患者腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)中的临床应用价值。方法:选取2008年4月至2012年4月收治的48例胆囊结石合并肝硬化患者,随机分为超声刀组与常规电凝组,对比分析两组患者围手术期相关指标。结果:超声刀组均顺利完成LC,常规电凝组3例中转开腹。超声刀组手术时间、术中出血量、术后腹腔引流量及术后住院时间均明显低于常规电凝组,差异有统计学意义;中转率及术后并发症发生率超声刀组优于电凝组,但差异无统计学意义。结论:肝硬化患者LC术中应用超声刀可有效缩短手术时间、减少手术出血量、保护肝功能并避免胆管损伤,手术安全、有效,具有较好的临床应用价值。
Objective：To investigate the clinical application value of harmonic scalpel in laparoscopic cholecystectomy（LC） for patients with cirrhosis.Methods：From Apr.2008 to Apr.2012,48 patients who suffered from cholecystolithiasis and cirrhosis were randomly divided into harmonic saclpel group and conventional electric coagulation group.The related indices of perioperative period were comparatively analyzed between 2 groups.Results：LC was successfully performed in harmonic scalpel group,and 3 patients in conventional electric coagulation griup were converted to laparotomy.The use of the harmonic scalpel was associated with a statistically significant shorter operative time,less estimated intraoperative blood loss,less postoperative abdominal drainage and shorter postoperative hospital stay.No statistically significant difference was found between both groups as regards the conversion rate and the incidence of postoperative complications.Conclusions：The harmonic scalpel provides a superior alternative in terms of shorter operative time,less intraoperative blood loss,and lower incidence of deterioration of liver function in LC for patients with cirrhosis.This procedure is safe and effective,can avoid the injury of bile duct,and has better clinical application value.
出处
《腹腔镜外科杂志》
2013年第1期65-67,共3页
Journal of Laparoscopic Surgery
关键词
胆囊结石病
肝硬化
胆囊切除术
腹腔镜
超声刀
Cholecystolithiasis
Liver cirrhosis
Cholecystectomy,laparoscopic
Harmonic scalpel
