关键词: 肝硬化, 胆囊切除术, 肝功能储备

Abstract:

Several issues should be noted during cholecystectomy for the patients with cirrhosis        SUN Bei，CHEN Hong-ze. Department of Pancreatic and Biliary Surgery，the First Affiliated Hospital of Harbin Medical University，Harbin 150001，China
Corresponding author：SUN Bei，E-mail：sunbei70@tom.com
Abstract    There is no doubt that patients with cirrhosis and symptomatic gallstones should accept the treatment of cholecystectomy. With poor liver reserve function，portal hypertension as well as poor clotting function，the patients with cirrhosis will encounter considerably high risks during cholecystectomy. Surgeons should pay more attention to assessing the liver function completely and accurately，performing comprehensive imaging examinations and standard liver protecting treatment before operation. It is also important to communicate with the patients and their relatives effectively and choose the most reasonable surgical procedure. Above all，trying to avoid injuring liver and shorten the operation time as much as possible，following the principle of “would rather damage the gallbladder，do not injure the liver”. What’s more，high-quality postoperative nursing contributes to better prognosis. Only when the key points above have been noted，cirrhosis patients performed cholecystectomy will obtain the maximum benefit with minimum risk.

Key words: liver cirrhosis, cholecystectomy, liver function reserve