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目的探讨伴随心律失常的患者行腹腔镜胆囊切除术(LC)的可行性、安全性。方法回顾2006年1月至2010年1月行伴随心律失常的腹腔镜胆囊切除术21例患者临床资料。其中窦性心动过缓患者17例,6例术前安放临时起搏器;频发房早室早2例,心房纤颤1例,术前纠正到最佳状态;房室传导阻滞1例,术前安放临时起搏器。患者术中术后均加强心电监测。结果所有患者都顺利完成二氧化碳气腹的腹腔镜胆囊切除术,气腹压力为8~12 mm Hg,气腹时间在30~45 m in,无1例中转开腹,术后恢复顺利。结论伴随心律失常的患者经适当处理,在低气腹压下行腹腔镜胆囊切除术并尽量缩短手术时间,是可行、安全的。
Objective To investigate the feasibility and safety of laparoscopic cholecystectomy (LC) in patients with arrhythmia. Methods The clinical data of 21 patients undergoing laparoscopic cholecystectomy with arrhythmia from January 2006 to January 2010 were retrospectively reviewed. Among them, 17 cases of sinus bradycardia, 6 cases of temporary pacemaker placed preoperatively; 2 cases of frequent room early morning room, 1 case of atrial fibrillation, preoperative correction to the best condition; atrioventricular block in 1 case Preoperative placement of temporary pacemaker. Patients after surgery to strengthen ECG monitoring. Results All patients underwent laparoscopic cholecystectomy with pneumoperitoneum. The pneumoperitoneum pressure was 8-12 mm Hg and the duration of pneumoperitoneum was 30-45 mins. None of the patients underwent laparoscopic radical cholecystectomy. Conclusions With proper treatment of patients with arrhythmia, it is feasible and safe to perform laparoscopic cholecystectomy and minimize the operation time under low pneumoperitoneum pressure.