中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
30期
118-119
,共2页
腹腔镜胆囊切除术%急诊手术%肝硬化%胆囊炎
腹腔鏡膽囊切除術%急診手術%肝硬化%膽囊炎
복강경담낭절제술%급진수술%간경화%담낭염
Laparoscopic cholecystectomy%Emergency surgery%Cirrhosis of the liver%Cholecystitis
目的：探讨肝硬化患者行急诊腹腔镜胆囊切除术的可行性。方法：对2010年5月-2014年3月8例肝硬化患者行急诊腹腔镜胆囊切除术进行回顾分析。结果：8例肝硬化胆囊结石急性发作患者，除1例因术中胆囊床扩张的门静脉分支出血而中转开腹，其余7例均顺利实施腹腔镜胆囊切除术，手术成功率为87.5%。结论：对急性胆囊炎合并肝硬化患者，术前进行评估，选择合适病例施行腹腔镜胆囊切除术是安全可行的。
目的：探討肝硬化患者行急診腹腔鏡膽囊切除術的可行性。方法：對2010年5月-2014年3月8例肝硬化患者行急診腹腔鏡膽囊切除術進行迴顧分析。結果：8例肝硬化膽囊結石急性髮作患者，除1例因術中膽囊床擴張的門靜脈分支齣血而中轉開腹，其餘7例均順利實施腹腔鏡膽囊切除術，手術成功率為87.5%。結論：對急性膽囊炎閤併肝硬化患者，術前進行評估，選擇閤適病例施行腹腔鏡膽囊切除術是安全可行的。
목적：탐토간경화환자행급진복강경담낭절제술적가행성。방법：대2010년5월-2014년3월8례간경화환자행급진복강경담낭절제술진행회고분석。결과：8례간경화담낭결석급성발작환자，제1례인술중담낭상확장적문정맥분지출혈이중전개복，기여7례균순리실시복강경담낭절제술，수술성공솔위87.5%。결론：대급성담낭염합병간경화환자，술전진행평고，선택합괄병례시행복강경담낭절제술시안전가행적。
Objective:To explore the feasibility of laparoscopic cholecystectomy in patients with liver cirrhosis of emergency.Method:From May 2010 to March 2014 8 cirrhotic patients who underwent emergent laparoscopic cholecystectomy were retrospectively analyzed.Result:In 8 cases of liver cirrhosis gallstone acute attack patients,except 1 case conversioned to open surgery because of the branch of portal vein dilatation of gallbladder bed bleeding,the other 7 cases were successfully implemented by laparoscopic cholecystectomy,the success rate of operation was 87.5%.Conclusion:Of the patients with acute cholecystitis complicated with liver cirrhosis,preoperative evaluation,appropriate cases laparoscopic cholecystectomy is safe and feasible.
