目的:总结肝硬化患者行腹腔镜胆囊切除术的治疗经验。方法:对我院2004-07/2008-11收治的合并肝硬化行腹腔镜胆囊切除术的81例进行回顾性分析,总结围手术期处理与手术中注意事项。结果:81例中78例均在腹腔镜下完成,中转率3.7%,另外1例术后第1天腹腔大出血再次进腹,成功率95.1%,无死亡。结论:处于Child A级或Child B级的肝硬化患者行腹腔镜胆囊切除术是切实可行的,完善的围手术期处理和精密的手术技巧是手术成功的关键。 Objective: To summarize the experience of laparoscopic cholecystectomy in patients with liver cirrhosis. Methods: A retrospective analysis was performed on 81 cases of laparoscopic cholecystectomy in our hospital from July 2004 to November 2008 with a review of the perioperative management and precautions. Results: In 81 cases, 78 cases were completed by laparoscopy, the conversion rate was 3.7%. The other 1 case had intraabdominal hemorrhage again on the first day after operation. The success rate was 95.1% without death. Conclusions: Laparoscopic cholecystectomy is feasible in cirrhotic patients with Child A or Child B cirrhosis. Perfect perioperative management and precise surgical techniques are the keys to successful operation.