267例老年人胆道手术临床分析

目的：探讨基层医院实施老年人胆道手术的安全性。方法：回顾性分析267例65周岁以上老年人行胆道手术的临床资料。结果：实施腹腔镜胆囊切除术69例，开腹胆囊切除术124例，开腹胆囊切除＋胆总管切开取石“T”管引流术56例，再次胆总管切开取石“T”管引流术18例，手术过程均顺利，术后并发切口感染5例，切口裂开1例，切口疝1例，急性支气管炎5例。结论：老年人并发慢性病较多，重视围手术期处理，在基层医院实施胆道手术是安全的。

The Clinical Analysis on Biliary Operation Among 267 Old People

Objective：Purpose：Discuss the safety of performing operations of biliary tract for old people in primary hospitals. Methods：Retrospective analyses 267 clinical data of performing operations of biliary tract for over 65-year-old people in our town clinic. Results：Our group performs 69 cases of laparoscopic cholecystectomy, 124 cases of open cholecystectomy,56 cases of choledocholithotomy,18 cases of choledocholithotomy for a second time. All the surgeries go well. There are 5 cases of postoperative wound infection,1 case of wound dehiscence, 1 case of incision- al hernia and 5 cases of acute bronchitis. Conclusion：For old people, chronic disease is normal. We should pay attention to t）atients＇ DerioDerative treatment. Performing operations of biliarv tract for old people in nrimarv hospitals is safe.