Clinical observation of laparoscopic cholecystectomy for the treatment of cirrhosis combined with hepatobiliary stones
腹腔镜胆囊切除术治疗肝硬化合并肝胆结石的临床观察

摘要

目的 探讨腹腔镜胆囊切除术治疗肝硬化合并肝胆结石的临床观察。方法 选择我院于2021年6月-2025年6月期间内收治的肝硬化合并肝胆结石患者100例，将其按随机分组方法分为对照组和观察组，对照组和观察组各50例，其中对照组采取常规开腹胆囊切除术治疗，观察组采用腹腔镜胆囊切除术治疗。对比两组的临床治疗效果。结果 观察组患者的临床相关指标均优于对照组（P＜0.05），观察组各项肝功能指标水平均低于对照组（P＜0.05），观察组并发症发生率低于对照组（P＜0.05），观察组临床治疗有效率高于对照组（P＜0.05）。结论 对肝硬化合并肝胆结石患者实施腹腔镜胆囊切除术治疗效果明显，可有效改善临床相关指标和患者肝功能，降低并发症发生率，有较高应用价值。

Abstract

Objective To investigate the clinical outcomes of laparoscopic cholecystectomy in treating liver cirrhosis complicated with hepatolithiasis.
Methods A total of 100 patients with liver cirrhosis and hepatolithiasis admitted to our hospital between June 2021 and June 2025 were randomly divided into a control group (50 cases) and an observation group (50 cases). The control group received conventional open cholecystectomy, while the observation group underwent laparoscopic cholecystectomy. Clinical efficacy was compared between the two groups.
Results The observation group demonstrated superior clinical indicators (P<0.05), lower liver function levels (P<0.05), reduced complication rates (P<0.05), and higher treatment effectiveness (P<0.05) compared to the control group.
Conclusion   Laparoscopic cholecystectomy shows significant therapeutic effects in patients with liver cirrhosis and hepatolithiasis, effectively improving clinical indicators, enhancing liver function, and reducing complications, demonstrating high clinical value.