CAJ | 학술논문

目的：探讨肝炎后肝硬化并发胆囊结石患者行胆囊切除术（LC）的可行性、安全性。方法对接受LC的36例胆囊结石合并肝炎后肝硬化患者的治疗结果进行回顾性分析。结果 LC成功36例，无中转开腹。LC平均手术时间（53.5±10.7）min，术中平均出血（70.6±16.6）ml。术中无损伤，术后泌尿系感染1例，肺部感染1例，出血1例。无肝功能衰竭等严重并发症，患者均经保守治疗后治愈出院，术后平均住院5～12天。结论对于肝功能处于ChildA、B级的肝硬化患者，详细评估其适应证以及进行充分的围手术期治疗，行LC是安全的。
목적：탐토간염후간경화병발담낭결석환자행담낭절제술（LC）적가행성、안전성。방법대접수LC적36례담낭결석합병간염후간경화환자적치료결과진행회고성분석。결과 LC성공36례，무중전개복。LC평균수술시간（53.5±10.7）min，술중평균출혈（70.6±16.6）ml。술중무손상，술후비뇨계감염1례，폐부감염1례，출혈1례。무간공능쇠갈등엄중병발증，환자균경보수치료후치유출원，술후평균주원5～12천。결론대우간공능처우ChildA、B급적간경화환자，상세평고기괄응증이급진행충분적위수술기치료，행LC시안전적。
Objective To explore the concurrent posthepatitic cirrhosis patients with gallbladder stone row the feasibility of the cholecystectomy (LC), security.Methods To accept the LC of 36 cases of gallbladder stone with posthepatitic cirrhosis patients with the treatment results were retrospectively analyzed.Results LC successfully 36 cases, no transfer laparotomy. LC average operation time (53.5±10.7) min, average intraoperative bleeding ml soil (70.6±70.6). Intraoperative injury, postoperative urinary tract infection in 1 case, pulmonary infection in 1 case, bleeding in 1 case. No serious complication such as liver failure, patients were cured by conservative treatment after hospital discharge, average hospitalization after 5-12 days.Conclusion For patients with cirrhosis liver function in a ChildA, class B, detailed evaluate the indications and sufficient perioperative treatment, LC is safe.