老年人胆道再次手术38例

目的探讨老年人胆道再次手术的术前评估及处理策略。方法回顾性分析我院2005年7月至2008年4月收治的38例老年人胆道再次手术病人的临床资料。结果再次手术时间为1．5～9h，平均（4．2±2．2）h；术中输血8例，输血量为400-1000ml，平均（395±286）ml；住院时间为8--38d，平均（18．0±9．7）d。无围手术期死亡，未发生严重的并发症。结论严格掌握手术适应证，充分做好术前准备和评估，强调再次手术的处理原则，老年胆道再次手术是可以安全实施的。

Bile duct reoperations in elderly patients:An analysis of 38 cases

Objective To investigate the preoperative evaluation and management strategy of bile duct reoperation in elderly patients. Methods The clinical data of 38 cases of elderly patients un- dergoing bile duct reoperation in our hospital from Jul. 2005 to Apr. 2008 were analyzed retrospectively. Results The operating time was 1.5-9 h （mean 4. 2 ±2. 2 h）. Eight cases had blood transfusion during the operation, and the blood volume was 400-1000 ml（mean 395 ± 286 ml）. The hospital day was 8-38 days （mean 18. 0± 9. 7 days）. There were no deaths during perioperative period and no serious complications. Conclusion Bile duct reoperation in elderly patients is safe and feasible through an- alyzing the initial surgery information carefully, controlling the surgical indications strictly and emphasizing the processing principle of reoperation with sufficient preparation and preoperative evaluation