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.%症状性胆囊结石是肝硬化病人胆囊切除的确定性手术适应证.肝硬化病人肝脏储备功能差,伴门静脉高压、凝血功能差,行胆囊切除术的风险大为增加.外科医师应注意术前行完善而准确的肝脏储备功能评估,行全面的影像学检查和规范的保肝治疗,与病人及家属充分沟通,合理选择手术方式,术中尽可能避免损伤肝脏,遵循"宁伤胆,勿伤肝"原则,避免多余操作,尽可能缩短手术时间,熟练精细的术中操作,规范的术后护理.只有做到以上几点,才能使肝硬化病人行胆囊切除时以最小的风险获得最大收益.
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