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2
The effects of different insufflation pressures on liver functions assessed with LiMON on patients undergoing laparoscopic cholecystectomy.不同气腹压力对接受腹腔镜胆囊切除术患者肝功能的影响（通过LiMON评估）
ScientificWorldJournal. 2012;2012:172575. doi: 10.1100/2012/172575. Epub 2012 Apr 24.
3
Routine testing of liver function before and after elective laparoscopic cholecystectomy: is it necessary?择期腹腔镜胆囊切除术前及术后的肝功能常规检测：有必要吗？
JSLS. 2011 Jan-Mar;15(1):65-9. doi: 10.4293/108680811X13022985131291.
4
Laparoscopic cholecystectomy in patients with cirrhosis of the liver and symptomatic cholelithiasis.肝硬化合并有症状胆结石患者的腹腔镜胆囊切除术
JSLS. 2009 Jul-Sep;13(3):342-5.
5
What is the role of the abdominal perfusion pressure for subclinical hepatic dysfunction in laparoscopic cholecystectomy?腹部灌注压在腹腔镜胆囊切除术中对亚临床肝功能障碍的作用是什么？
J Laparoendosc Adv Surg Tech A. 2009 Feb;19(1):39-44. doi: 10.1089/lap.2008.0085.
6
Effect of carbon dioxide pneumoperitoneum on liver function following laparoscopic cholecystectomy.腹腔镜胆囊切除术后二氧化碳气腹对肝功能的影响。
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7
Comparison of postoperative hepatic function between laparoscopic and open cholecystectomy.腹腔镜胆囊切除术与开腹胆囊切除术术后肝功能的比较。
Med Princ Pract. 2005 May-Jun;14(3):147-50. doi: 10.1159/000084630.
8
Elevation of serum liver enzymes after laparoscopic cholecystectomy.腹腔镜胆囊切除术后血清肝酶升高。
N Z Med J. 2005 Feb 25;118(1210):U1317.
9
Randomized clinical trial of ultrasonic versus electrocautery dissection of the gallbladder in laparoscopic cholecystectomy.腹腔镜胆囊切除术中胆囊超声与电灼解剖的随机临床试验。
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10
Comparison of postoperative hepatic function after laparoscopic versus open gastric bypass.腹腔镜与开腹胃旁路术后肝功能的比较。
Am J Surg. 2003 Jul;186(1):40-4. doi: 10.1016/s0002-9610(03)00106-5.

腹腔镜胆囊切除术不同解剖技术术后肝功能的比较

Comparison of postoperative liver function between different dissection techniques during laparoscopic cholecystectomy.

作者信息

Mazahreh Tagleb S, Aleshawi Abdelwahab J, Al-Zoubi Nabil A, Altabari Mohammad, Aljarrah Qusai

机构信息

Department of General Surgery & Urology, Faculty of Medicine, Jordan University of Science & Technology, Irbid 22110, Jordan.

King Abdullah University Hospital, Jordan University of Science & Technology, Irbid 22110, Jordan.

出版信息

Future Sci OA. 2020 Feb 7;6(4):FSO462. doi: 10.2144/fsoa-2019-0160.

DOI:10.2144/fsoa-2019-0160
PMID:32257375
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7117547/
Abstract

AIM

In this study, we investigated and compared the effect of different types of dissector (Maryland vs Hook) on changes in liver function tests (LFTs) after laparoscopic cholecystectomy.

PATIENTS & METHODS: The enrolled patients were divided into two groups. Group A patients underwent dissection by Maryland dissecting forceps, group B by Hook dissecting instrument. LFTs were measured preoperatively and at 1 day and 1 week, postoperatively.

RESULTS

For both Maryland and Hook dissection, the 1-day postoperative values for total bilirubin, alanine aminotransferase and aspartate aminotransferase were significantly higher than the preoperative values. Also, there were no statistical differences between Hook and Maryland.

CONCLUSION

The elevation of LFTs seems to be attributed to other factors.

摘要

目的

在本研究中，我们调查并比较了不同类型的解剖器（马里兰式与钩状）对腹腔镜胆囊切除术后肝功能检查（LFTs）变化的影响。

患者与方法

纳入的患者被分为两组。A组患者使用马里兰解剖钳进行解剖，B组使用钩状解剖器械。术前以及术后第1天和第1周测量LFTs。

结果

对于马里兰式和钩状解剖，术后第1天总胆红素、丙氨酸转氨酶和天冬氨酸转氨酶的值均显著高于术前值。此外，钩状和马里兰式之间无统计学差异。

结论

LFTs升高似乎归因于其他因素。