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腹腔镜胆囊切除术治疗361例老年胆囊炎疗效观察
引用本文:李进军,伍冀湘,梁杰雄.腹腔镜胆囊切除术治疗361例老年胆囊炎疗效观察[J].中国医药,2008,3(8):482-483.
作者姓名:李进军  伍冀湘  梁杰雄
作者单位:首都医科大学附属北京安贞医院普外科,北京,100029
摘    要:目的探讨腹腔镜胆囊切除术在老年人胆囊炎治疗中的应用价值。方法回顾性分析我院因胆囊炎实施胆囊切除术的老年患者463例,按是否行腹腔镜手术分为腹腔镜组361例和非腹腔镜组102例,比较2组患者的手术时间、并发症发生率、术后肠功能恢复时间、腹腔引流量及住院时间。结果2组患者手术时间、恢复饮食时间及住院天数比较有统计学意义(P〈0.05),并发症发生率、腹腔引流量比较无统计学意义。结论老年患者行腹腔镜治疗是安全可行的,但应综合评估术前全身机能状况,合理选择手术时机、术中细致操作以及适时中转开腹是安全实施腹腔镜胆囊切除术和减少并发症的关键。

关 键 词:胆囊炎  腹腔镜胆囊切除术  老年人

The therapy of laparoscopic cholecystectomy for the aged patients with cholecystitis
LI Jin-jun,WU Ji-xiang,LIANG Jie-xiong.The therapy of laparoscopic cholecystectomy for the aged patients with cholecystitis[J].China Medicine,2008,3(8):482-483.
Authors:LI Jin-jun  WU Ji-xiang  LIANG Jie-xiong
Institution:. (Department of Surgery, Beijing Institute of Heart Lung and Blood Vessel Diseases & Beijing Anzhen Hospital of The Capital University of Medical Sciences, Beijing 100029, China)
Abstract:Objective To study the value of Laparoscopic cholecystectomy(LC)for the aged patients with Cholecystitis.Methods The clinical data of aged patients with eholeeystitis treated by laparoscopic choleeystectomy were retrospectively analyzed and compared with that of patients treated by open cholecystectomy.These patients were divided into the two groups based on with or without laparoscopy operation.Results 1'hC patients treated by OC had longer postoperative recovery,Time of stay and surgery duration slower which had significant stastical difference with LC(P<0.05).But there Was no significant different in the complications and the quantity of flowing liquid from abdominal cavity after operation between the two groups(P>0.05).Conclusion LC iS safe and feasible for the aged cholecystitis.The key steps to reduce complications are wholely appraising systematic condition,choosing operation juncturc rationally,manipulating carefully during operating and transferring to routine cholecystectomy when necessary.
Keywords:Cholecystitis  Laparoscopic cholecystectomy  Aged
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