镰状细胞病患儿的腹腔镜胆囊切除术

Laparoscopic cholecystectomy in children with sickle cell disease.

作者信息

Hatley R M, Crist D, Howell C G, Herline A J, Gadacz T R

机构信息

Department of Surgery, Medical College of Georgia, Augusta.

出版信息

Am Surg. 1995 Feb;61(2):169-71.

PMID:7856980

Abstract

Since 1991, laparoscopic cholecystectomy has been utilized in children with sickle cell disease, predominantly because of the decreased pain and shorter hospitalization. We believe that outpatient laparoscopic cholecystectomy or even a 24 hour hospitalization is not indicated in the patient with sickle cell disease. Perioperative complications include bleeding diathesis, vaso-occlusive phenomena, and delayed hemolytic transfusion reactions, although clotting parameters can be normal.

摘要

自1991年以来，腹腔镜胆囊切除术已应用于镰状细胞病患儿，主要是因为疼痛减轻且住院时间缩短。我们认为，镰状细胞病患者不适合门诊腹腔镜胆囊切除术，甚至24小时住院治疗也不合适。围手术期并发症包括出血倾向、血管闭塞现象和延迟性溶血性输血反应，尽管凝血参数可能正常。