老年人急性胆囊炎的腹腔镜手术治疗  

Laparoscopic surgical treatment for acute cholecystitis in aged patients

作　　者：李进军[1] 伍冀湘[1] 梁杰雄[1] 

机构地区：[1]首都医科大学附属北京安贞医院普通外科,北京100029

出　　处：《中国普通外科杂志》2011年第8期808-810,共3页China Journal of General Surgery

摘　　要：目的探讨老年人急性胆囊炎采用腹腔镜手术治疗的临床效果与应用价值。方法回顾性分析105例因急性胆囊炎实施胆囊切除术的老年患者的临床资料,按手术方式分为腹腔镜组(LC组)和剖腹胆囊切除术组(OC组)。结果两组患者手术时间、肠功能恢复时间及住院天数差异均有统计学意义(P<0.01),LC组优于OC组;术中出血、腹腔引流量和术后并发症两组差异无统计学意义(P>0.05)。结论老年急性胆囊炎患者行腹腔镜治疗是安全可行的。Objective To study the clinical effect and value of laparoscopic surgical treatment for acute cholecystitis in aged patients. Methods The clinical data of 105 aged patients with acute cholecystitis undergoing cholecystectomy were retrospectively analyzed.The patients were divided into laparoscopic cholecystectomy（LC,68 cases） and open cholecystectomy（OC,37 cases） group according to the operative procedure. Results LC was better than OC in terms of duration of operation,bowel function recovery time and postoperative hospital stay,which were statistically significant between the two groups（P〈0.01）,but the indexes of blood loss,amount of abdominal drainage and incidence of postoperative complications between the two groups showed no significant difference（P〈0.05）. Conclusions Laparoscopic surgical treatment is safe and feasible for acute cholecystitis in aged patients.

关 键 词：胆囊切除术 腹腔镜 胆囊炎 急性 老年人 

分 类 号：R657.4[医药卫生—外科学]