老年人腹腔镜胆囊切除术病例选择及围术期处理  

Case select of laparoscopic cholecystectomy and perioperative therapy in elderly

作　　者：孟勇[1] 林增海[1] 吴华涛[1] 

机构地区：[1]汕头大学医学院第一附属医院普通外科,515041

出　　处：《中国实用医药》2011年第17期41-42,共2页China Practical Medicine

摘　　要：目的探讨老年人腹腔镜胆囊切除术病例选择及围术期处理。方法老年人500例行LC术,中转剖腹手术6例,行胆囊大部分切除8例,9例术中经胆囊管胆道造行。结果全组LC手术成功率98.8%,中转剖腹手术6例,全组无死亡及严重手术并发症。结论老年人常伴有其他慢性器官疾病,手术耐受性较差,LC围术期危险性明显增高,应严格选择手术适应证,针对不同的伴随疾病采取相应的措施,术中应相对放宽中转开腹的指征,熟练的腹腔镜外科技术等是预防和减少并发症的关键。Objective To discuss the case select of laparoscopic cholecystectomy（LC）and perioperative therapy in oldly people. Methods Total 500 old patients were endured LC,6 of them were converted to open surgery and 8 cases were received sectional cholecystectomy. 9 cases were received operative cholangiography during cystic duct. Results The success rate of LC was 98.8%. No death in all cases and no serious complications occurs. Conclusion Because oldly people often accompany other chronic diseases, their tolerance are fairly bad, while the risk of peri-operative period is obviously raised. Strictly selecting LC indictions, treating the accompanying disease properly, broadening the indication of converting to open surgery and skilled surgeon doing the operation are key factors to prevent and reduce complications.

关 键 词：老年人 腹腔镜 胆囊切除术 

分 类 号：R657.4[医药卫生—外科学]