CAJ | 학술논문

目的：探讨肝硬化失代偿期腹腔镜下胆囊切除术的临床可行性。方法选择患者61例，分为两组，观察组使用腹腔镜手术，对照组实施开腹治疗，比较两组手术相关因素，如手术时间、术中出血、术后住院时间等，并统计两组发生的并发症情况。结果观察组手术时间短于对照组（P＜0.05），术中出血少于对照组（P＜0.05），术后住院时间短于对照组（P＜0.05），观察组发生术中胆管损伤及术后肝性脑病的比率显著低于对照组（P＜0.05）。结论肝硬化失代偿期实施腹腔镜胆囊切除术并非绝对禁忌证，术中仔细操作，适当降低气腹压力，是保证手术成功的关键。
목적：탐토간경화실대상기복강경하담낭절제술적림상가행성。방법선택환자61례，분위량조，관찰조사용복강경수술，대조조실시개복치료，비교량조수술상관인소，여수술시간、술중출혈、술후주원시간등，병통계량조발생적병발증정황。결과관찰조수술시간단우대조조（P＜0.05），술중출혈소우대조조（P＜0.05），술후주원시간단우대조조（P＜0.05），관찰조발생술중담관손상급술후간성뇌병적비솔현저저우대조조（P＜0.05）。결론간경화실대상기실시복강경담낭절제술병비절대금기증，술중자세조작，괄당강저기복압력，시보증수술성공적관건。
Objective To investigate the feasibility of cholecystectomy for decompensated cirrhosis laparoscopic. Methods 61 cases were divided into two groups, the observation group used laparoscopic surgery, the control group received open treatment, then surgery-related factors, such as operative time, blood loss, postoperative hospital stay, and two sets of statistics complications occurred were compared in the two groups. Results The observation group with operative time was shorter than control group (P<0.05), blood was loss than control group(P<0.05), hospital stay time was shorter than control group(P<0.05), the occurrence of intraoperative bile duct injury postoperative hepatic encephalopathy ratio was lower than control group(P < 0.05). Conclusion Cholecystectomy for decompensated cirrhosis laparoscopic is not an absolute contraindication, intraoperative careful operation and lower pneumoperitoneum pressure can ensure that to be successful.