关键词: 腹腔镜胆囊次全切除术, 肝硬化, 急性结石性胆囊炎, 疗效

Abstract: Objective   To explore the feasibility and clinical efficacy of laparoscopic subtotal cholecystectomy for cirrhosis combined with acute calculous cholecystitis.  Methods   Ninety-two cases of liver cirrhosis with acute calculous cholecystitis who were hospitalized in the Hospital of Ningxia Hui Autonomous Region from January 2019 to December 2021 were retrospectively analyzed.Fourty-eight patients underwent laparoscopic subtotal cholecystectomy (study group)and fourty-four patients underwent laparoscopic cholecystectomy (control group).The operative time,intraoperative blood loss,postoperative abdominal drainage tube removal time,postoperative hospital stay,hospitalization cost and postoperative complications were compared and analyzed between the two groups. Results  In the laparoscopic subtotal cholecystectomy group,the operative time was （32.13±17.52）min and intraoperative blood loss was （92.52±35.67）ml,while in the laparoscopic total cholecystectomy group,the operative time was （49.11±23.26）min and intraoperative blood loss was （159.18±45.26）ml.The operative time and intraoperative blood loss were significantly different(P＜0.05),while there were no significant differences in postoperative abdominal drainage tube removal time,postoperative length of hospital stay and hospitalization cost between the two groups(P>0.05). Conclusion   Laparoscopic subtotal cholecystectomy is A safe and feasible treatment option for patients with liver cirrhosis (Child A,B) complicated with acute calculous cholecystitis due to its short operation time,less bleeding,fewer complications and faster postoperative recovery.

Key words: laparoscopic subtotal cholecystectomy, cirrhosis, acute calculous cholecystitis, analysis