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肝硬化患者的腹腔镜胆囊切除术:适应证还是禁忌证?

Laparoscopic cholecystectomy in cirrhotic patients. Indication or contradiction?

作者信息

Lacy A M, Balaguer C, Andrade E, García-Valdecasas J C, Grande L, Fuster J, Bosch J, Visa J

机构信息

Department of Surgery, Hospital Clínic, University of Barcelona, Spain.

出版信息

Surg Endosc. 1995 Apr;9(4):407-8. doi: 10.1007/BF00187160.

Abstract

Liver cirrhosis is considered a contraindication to laparoscopic cholecystectomy for the moment. Here we are reporting on results in the surgical treatment of gallstone disease in cirrhotic patients by laparoscopic means. We reviewed the experience over the final period of time in 11 patients since the introduction of laparoscopic procedures in our unit. The index of conversion rate was 9.1% (1/11). The morbidity was nil. The average length of hospital stay was 1.8 days (1-6 days). We propose the use of laparoscopic cholecystectomy in gallstone disease in patients with liver cirrhosis as first-line surgical treatment.

摘要

目前,肝硬化被视为腹腔镜胆囊切除术的禁忌证。在此,我们报告通过腹腔镜手段对肝硬化患者胆结石疾病进行手术治疗的结果。自我们科室引入腹腔镜手术以来,我们回顾了11例患者在最后一段时间内的经验。中转率为9.1%(1/11)。无并发症发生。平均住院时间为1.8天(1 - 6天)。我们建议将腹腔镜胆囊切除术作为肝硬化患者胆结石疾病的一线手术治疗方法。

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