安装心脏起搏器的腹腔镜胆囊切除术
安东均，马富平，张成
摘 要
目的：探讨合并严重心律失常的胆石症病人安装心脏起搏器后行腹腔镜胆囊切除术（LC）的安全性。
方法：对我科8例安装vvI型心脏起搏器后施行LC的临床资料进行分析。
结果：全部病人在vvI维持下成功实施LC，围手术期未发生与心脏及放置起搏器有关的并发症。术后经过顺利。
结论：只要术前排除心功能不全，并对麻醉与手术风险做出正确评估，安装心脏起搏器后可安全实施LC。
关键词
胆囊切除术，腹腔镜；胆结石/外科学；心律失常；心脏起搏，人工
Laparoscopic cholecystectomy under the use of cardiac pacemaker
AN Dongjun，MA Fuping，ZHANG Cheng
（Department of Hepatobiliary Surgery，The Second People's Hospital of Xianyang，Xian-yang，Shanxi 712000，China）
ABSTRACT
Objective:To investigate the safety of laparoscopic cholecystectomy（LC）under the use of cardiac pacemaker for the patients with cholelithiasis and serious cardiac arrhy thmia.
Methods:The clinical data of 8 cases undergoing LC under the use of vv I cardiac pacemaker were analysed.
Results:All the 8 cases under going LC by cardiac pacemaker had successful results.There was no cardiac accident or complication of the pacemaker in perioperative period in this series，and the postoperative course was smooth.
Conclusions:LC is safe under the use of cardiac pacemaker，if the decompensation of heart is controlled and the anaesthesia and operation are estimated correctly.
KEY WORDS
Cholecystectomy，Laparoscopic；Cholelithasis/sury；Arrhythmia；Cardiac pacing，Artihcial
胆囊结石病人合并有严重心律失常时，能否施行腹腔镜胆囊切除术（LC），国内外少见报道。我科自2000年5月以来为8例严重心律失常病人安装心脏起搏器后实施LC，疗效满意，现报告如下。