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老年患者腹腔镜胆囊切除术围手术期处理(附88例报告)
引用本文:张海军,张金红.老年患者腹腔镜胆囊切除术围手术期处理(附88例报告)[J].腹腔镜外科杂志,2009,14(2).
作者姓名:张海军  张金红
作者单位:1. 邯郸峰峰集团第二医院,河北,邯郸,056201
2. 峰峰集团总医院
摘    要:目的:探讨老年患者行腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)围手术期的处理。方法:回顾分析我院88例老年患者行LC围手术期的处理措施。结果:本组成功完成LC86例,中转开腹2例,手术时间35~145min,平均45min,住院时间4~8d,平均5d,术后无死亡病例及严重并发症发生。结论:老年患者行LC风险大,难度高,但只要作好充分的术前准备,手术谨慎操作,术后严格管理,有针对性处理围手术期的各种问题,老年患者行LC是安全可行的。

关 键 词:胆囊切除术  腹腔镜  老年人  围手术期处理

Perioperative management of aged patients for laparoscopic cholecystectomy:with a report of 88 cases
ZHANG Hai-jun,ZHANG Jin-hong.Perioperative management of aged patients for laparoscopic cholecystectomy:with a report of 88 cases[J].Journal of Laparoscopic Surgery,2009,14(2).
Authors:ZHANG Hai-jun  ZHANG Jin-hong
Institution:ZHANG Hai-jun1,ZHANG Jin-hong2.1.The Second Hospital of H,an Fengfeng Corperation,H,an 056201,China,2.Hospital of Fengfeng Corperation
Abstract:Objective:To explore perioperative management of aged patients for laparoscopic cholecystectomy LC.Methods:Clinical data of 88 aged patients who underwent LC was collected and analyzed retrospectively.Results:LC was successfully performed on 86 patients,and 2 converted to open surgery.The operation time was 35-145min(average 45min),and the hospitalization was 4-8d(average 5d).No death and serious complications occurred.Conclusions:Though with more difficulties and risks,LC is safe and fessible for aged pati...
Keywords:Cholecystectomy  laparoscopic  Aged  Perioperative management  
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