LC与OC治疗老年人胆囊疾病比较  

A COMPARISON BETWEEN LC AND OC FOR SENILE CHOLECYSTOPATHY

作　　者：阮景德[1] 刘恕[1] 张晓波 张成裕[1] 夏征 

机构地区：[1]湖南医科大学附属湘雅医院老年病科,410008

出　　处：《中国内镜杂志》1999年第6期13-15,共3页China Journal of Endoscopy

摘　　要：目的:探讨老年人胆囊疾病的最佳手术方式。方法:将174 例老年胆囊疾病患者(年龄60 ～81 岁)随机分成二组,分别用腹腔镜胆囊切除(LC) 和常规胆囊切除(OC) 二种方法治疗,LC 组89 例,OC组85 例,观察手术、恢复及并发症情况。结果:LC 较OC 的创伤小,病人术后痛苦轻,活动早,护理简便,恢复快,并发症低。但因老年人的胆囊病变相对较重,手术难度相对较大,术中中转剖腹手术偏高,要求手术者的LC技术更熟练。Objective: To study the best method of operation for senile cholecystopathy. Methods: By random grouping, 89 senile cases were performed Laparoscopic Cholecystectomy (LC), 85 senile cases were performed Open Cholecystectomy (OC). The results were analyzed for operative damages, recovery time and postoperative complications. Results: LC had the advantages of less trauma, slighter postoperative pain, earlier resumption of activity, quicker recovery, easier nursing, shorter hospitalization and fewer complications than OC. It was a more acceptable operation for aged patients. However, it demanded more skillful operation techniques and the indication selection was stricter than that in young patients because senile cholecystopathy was relatively serious. Conclusions: LC is a safer operation than OC for senile cholecystopathy if the surgeons can master a skillful LC technique.

关 键 词：老年人 胆囊疾病 腹腔镜胆囊切除 剖腹胆囊切除 

分 类 号：R575.705[医药卫生—消化系统]