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首页> 外文期刊>Asian Journal of Pharmaceutical and Clinical Research >ASSESSMENT OF FEASIBILITY AND COMPLICATIONS OF LAPAROSCOPIC CHOLECYSTECTOMY IN CIRRHOTIC PATIENTS
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ASSESSMENT OF FEASIBILITY AND COMPLICATIONS OF LAPAROSCOPIC CHOLECYSTECTOMY IN CIRRHOTIC PATIENTS

机译：肾病患者腹腔镜胆囊切除术的可行性和复杂性评估

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Abstract : Introduction: From the era of absolute contraindication to the phase of preferred treatment, the technique of laparoscopic cholecystectomy advances with time. Here, we report our experience of laparoscopic cholecystectomy in 20 patients of liver cirrhosis. In our institute, laparoscopic cholecystectomy is the preferred choice for cholelithiasis in cirrhotic patient. Methods: In last 2 years, 180 laparoscopic cholecystectomies were performed and 20 patients were cirrhotic. Their data analyzed retrospectively in terms of preoperative optimization, operative technique and results. Results: Laparoscopic cholecystectomy was completed successfully in 19 patients and one was converted to open. Mean operative time was 54 minutes. No additional port was required in all cases. Calot’s first dissection was performed in 18 patients and fundus first technique was used in 2 patients due to unclear anatomy. Liver bed bleeding was present in 16 patients, which was controlled effectively. Subhepatic drain was placed in 12 patients. There was no mortality. Morbidity in two patients was worsening of ascites in one; and incisional hernia in other patient which was converted to open. Port site complications were not noted in any patient and there was no evidence of intraabdominal bleeding or bile leak postoperatively. Blood and component transfusion was required in 2 patients. Average length of hospital stay was 4.8 days. Conclusion: Though laparoscopic cholecystectomy may be difficult in cirrhotic patients but it is feasible and relatively safe. It offers many advantages in cirrhotic patients and associated with low morbidity when compared with open surgery. Keywords: cirrhosis, laparoscopic cholecystectomy, difficult cholecystectomy.
机译：摘要：简介：从绝对禁忌时代到首选治疗阶段，腹腔镜胆囊切除术的技术随着时间的发展而发展。在这里，我们报告20例肝硬化患者的腹腔镜胆囊切除术的经验。在我们的研究所，腹腔镜胆囊切除术是肝硬化患者胆石症的首选。方法：最近2年，共进行了180例腹腔镜胆囊切除术，其中20例肝硬化。他们的数据进行了回顾性分析，包括术前优化，手术技术和结果。结果：19例患者成功完成了腹腔镜胆囊切除术，其中1例转为开放性。平均手术时间为54分钟。在所有情况下都不需要其他端口。由于解剖结构不清晰，Calot首次解剖了18例患者，而眼底优先技术则用于2例患者。 16例患者存在肝床出血，可有效控制。肝下引流放置12例。没有死亡。 2例患者的发病率是1例腹水的恶化。和其他患者的切开疝已被转换为开放性疝。没有观察到任何患者的港口部位并发症，也没有术后腹腔出血或胆漏的迹象。 2名患者需要输血和输液。平均住院时间为4.8天。结论：尽管对于肝硬化患者来说，腹腔镜胆囊切除术可能很困难，但它是可行且相对安全的。与开腹手术相比，它在肝硬化患者中具有许多优势，并具有较低的发病率。关键词：肝硬化，腹腔镜胆囊切除术，困难的胆囊切除术。

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