Clinical effects of laparoscopic cholecystectomy on cholecystolithiasis patients complicated with liver cirrhosis

Jianjun Ren; Jianxiang Niu; Xingkai Meng
June 2013
HealthMed;2013, Vol. 7 Issue 6, p1884
Academic Journal
Objective: To study the feasibility and effect of laparoscopic cholecystectomy on cholecystolithiasis patients complicated with liver cirrhosis. Methods: The clinical data of 263 cases of cholecystolithiasis patients associated with liver cirrhosis admitted to our hospital from January 2009 to June 2012 were analyzed retrospectively. All the patients were randomly divided into two groups: laparoscopy group (147 cases) and laparotomy group (116 cases). The intraoperative and postoperative indicators were compared between the two groups, and statistical analysis was made. Results: The operative time, intraoperative blood loss and the average hospital stay of the laparoscopy group were lower than those of the laparotomy group, and the average total cost of hospitalization of the former was higher than that of the latter, with the difference statistically significant (P <0.05); in the laparoscopy group, the changes of total bilirubin, albumin, AST, ALT and GGT before and after surgery were significantly lower than those of the laparotomy group, in which the difference was statistically significant (P <0.05), while there was no significant difference in the changes of direct bilirubin, indirect bilirubin and ALP; the overall incidences of various complications were 8.16% and 13.79% respectively in the two groups, which was not statistically significant (P> 0.05). Conclusion: Laparoscopic cholecystectomy is safe and feasible in the treatment of cholecystolithiasis associated with liver cirrhosis (Child's class A and B liver function), showing distinct advantages.


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