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腹腔镜胆囊切除术在老年人急性胆囊炎中的应用
引用本文:沈万川,张丽霞,陈哲,王重巧.腹腔镜胆囊切除术在老年人急性胆囊炎中的应用[J].腹腔镜外科杂志,2006,11(6):529-531.
作者姓名:沈万川  张丽霞  陈哲  王重巧
作者单位:甘肃省会宁县人民医院,甘肃,会宁,730700
摘    要:目的:探讨老年人急性胆囊炎行腹腔镜胆囊切除术(laparoscop ic cholecystectomy,LC)的时机及方法。方法:回顾分析2003年5月~2005年5月23例急性胆囊炎老年患者的临床资料。结果:LC均获成功,患者全部治愈,未发生严重并发症。结论:老年人急性胆囊炎的病情进展快,手术难度大,风险高;要高度重视围手术期的处理,把握手术时机及技巧。早期LC是安全可行的。

关 键 词:胆囊切除术  腹腔镜  胆囊炎  老年人
文章编号:1009-6612(2006)06-0529-03
收稿时间:2006-06-30
修稿时间:2006年6月30日

Laparoscopic cholecystectomy in aged patients with acute cholecystitis
SHEN Wan-chuan,ZHANG Li-xia, CHEN Zhe,et al..Laparoscopic cholecystectomy in aged patients with acute cholecystitis[J].Journal of Laparoscopic Surgery,2006,11(6):529-531.
Authors:SHEN Wan-chuan  ZHANG Li-xia  CHEN Zhe  
Institution:SHEN Wan-chuan,ZHANG Li-xia, CHEN Zhe, et al.
Abstract:Objective:To explore the opportunity and technique of laparoscopic cholecystectomy(LC)in aged patients with acute cholecystitis.Methods:Clinical data of 23 aged cases with acute cholecystitis undergone LC from May 2003 to May 2005 were analyzed retrospectively.Results:All patients were performed early LC within 48h of the acute attack successfully and recovered with no serious operative complications.Conclusions:Aged acute cholecystitis progresses rapidly and its operative difficulty and risk is higher;only if more attention be paid to perioperative managements and command operative time and technical skill,early LC for the patient is safe and feasible.
Keywords:Cholecystectomy  laparoscopic  Acute cholecystitis  Aged
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