We analyzed retrospectively 28 cirrhotic patients who performed celiotomy t the Koryo general hospital from January 1988 to December 1992.
The following results were obtained.
1) The presence of cirrhosis was confirmed byintraoperative liver biopsy and the majority of them were subcapsular fibrosis and macronodular fibrosis.
2) The sex ration was 3 : 1 with male predominance.
3) The mean age of patients was 55 years,the peak incidence was distributed from 4th decade to 6th decade,(90%).
4) We performed 28 celiotomy and the disease distribution were UGI 13, LGI 6, Hepathobiliary 6, the others 3 case.
5) Postoperative mortality occurred in 7% of patients; sepsis with multiple organ failure and liver dysfunction were the main cause.
6) Postoperative morbityoccurred in 54% of patients; liver dysfunction(9), wound infection (5), purmonary conplication(5), ascites leakage(4).
7) The factors affecting postoperativemorbity and mortality were hypoalbuminemia prolongation of prothrombin time, emergency, perp-intraabdominal infection.
8) We found that Pepatitis B carrier Were 63% in clrrhotic patients in contrast with which alcoholic cirrhosis patients were the majority in the American and European country and Hepatitis B positive patients were more 2 times than Hepatitis B
negative
patients in postopertive morbidity.
In the analysis of the above results, we concluded that the postopertive morbity and mortality of celiotomy in cirrhotic patientscound be lessened by the proper correction of postopertive improvable factors and avoidance of emergency operation.
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