摘要
目的 :分析腹腔镜肝硬化患者胆石症治疗的围术期特点。方法 :回顾分析我中心 1 999年来 2 1例腹腔镜治疗肝硬化 (Child -Pugh肝功能分级为A或B级 )胆石症的围术期治疗经过 ,其中腹腔镜胆囊切除术 (LC) 1 9例 ,并胆总管切开取石 (LCDE) 2例。结果 :所有患者恢复良好 ,1例术后出现腹水 ,经护肝、支持及利尿治疗 ,7d后腹水消失 ,无 1例出现肝昏迷和死亡。结论 :经过充分的术前准备 ,术中及术后恰当的处理 ,腹腔镜在轻。
Objective:To analysis the characteristic of la paroscope technique for patients with cholelithiasis associated with cirrhosis. Methods:Review the history of 21 patients with cholelithiasis c ompanyed by cirrhosis (Child-Pugh class A or B) treated with laparoscope since 1 999, 19 patients were performed LC and 2 LCDE. Results:All patients recovered well,no one occurred hepatic com a and died during hospitalization.Conclusion:The LC and LCDE can be considered a safe and effecti ve surgical procedure for patients with cholelithiasis associated with cirrhosis (Child-Pugh class A or B) after full preoperative preparation, appropriate trea tment during operation and after operation
出处
《中国内镜杂志》
CSCD
2003年第6期6-7,10,共3页
China Journal of Endoscopy
