摘要
目的探讨腹腔镜胆囊切除术中胆囊床止血方式的不同对肝功能的影响。方法选择术前肝功能正常的患者100例行腹腔镜胆囊切除术,随机使用电凝钩和电凝棒各50例进行胆囊床止血,手术后24h分别检测肝功能状况。结果手术后24h使用电凝钩组ALT、AST明显升高,而使用电凝棒组基本在正常范围内。结论使用电凝钩进行胆囊床止血会对患者造成一过性的肝功能损伤。腹腔镜胆囊切除术中选择合理的手术操作会减少肝功能损伤。
Objective To explore the effect of different methods of hemostasis to gallbladder bed on liver function after laparoseopic choletectomy （LC）. Methods 100 patients with normal liver function preoperatively were randomly divided into 2 groups：50 patients in group A with electrocantery, and the remaining 50 in group B with electrostick. Hepatic function was tested on the postoperative day one. Results The serum levels of ALT and AST were significantly elevated in group A,while those in group 13 were normal. Hemostasis to gallbladder bed with electrocantery during LC might damage hepatic function transiently. Conclusion Reasonable surgical method may reduce the damage of liver function during LC.
出处
《临床外科杂志》
2007年第2期107-108,共2页
Journal of Clinical Surgery
关键词
腹腔镜胆囊切除术
肝功能
电凝钩
laparoseopic choletectomy
liver function
electrocantery
