Carmona R, Suazo J, Mercado M A, Orozco H
División de Medicina Interna, Instituto Nacional de la Nutrición Salvador Zubirán, México, D.F.
Rev Gastroenterol Mex. 1996 Jul-Sep;61(3):220-5.
To inform the morbidity and mortality observed in cirrhotic patients who underwent open cholecystectomy.
We reviewed the clinical records of 31 cirrhotics that underwent open cholecystectomy and they were compared with a control group of the same age and sex.
Despite administration of plasma or vitamin K or both, bleeding and transfusions during surgery were observed more frequently in cirrhotics. The morbidity was 13% in the controls and 42% in the cases. Renal failure, cardiac failure and upper gastrointestinal bleeding were present only in the cirrhotics. Mortality was 16% in this group (one Child A patient and four Child B-C patients). The variable related with major morbimortality was Child B or C classification.
Open cholecystectomy was associated with high morbimortality. The valoration and preparation before surgery must be careful, and the indication from this procedure needs to be made with caution.
了解接受开腹胆囊切除术的肝硬化患者的发病率和死亡率。
我们回顾了31例接受开腹胆囊切除术的肝硬化患者的临床记录，并将他们与年龄和性别相同的对照组进行比较。
尽管使用了血浆或维生素K或两者，但肝硬化患者手术期间出血和输血的情况更为常见。对照组的发病率为13%，病例组为42%。肾衰竭、心力衰竭和上消化道出血仅出现在肝硬化患者中。该组死亡率为16%（1例Child A级患者和4例Child B - C级患者）。与主要病死相关的变量是Child B或C级分类。
开腹胆囊切除术与高病死相关。术前评估和准备必须谨慎，该手术的适应证需谨慎确定。
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