| 762例老年患者行腹腔镜胆囊切除术的临床分析 |
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| 引用本文： | 吴武军,杜立学,张煜,孙中杰,张智勇,李晖,胡海田,刘晓刚. 762例老年患者行腹腔镜胆囊切除术的临床分析[J]. 腹腔镜外科杂志, 2009, 14(9): 687-689 |
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| 作者姓名： | 吴武军 杜立学 张煜 孙中杰 张智勇 李晖 胡海田 刘晓刚 |
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| 作者单位： | 陕西省人民医院,陕西,西安,710068 |
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| 摘 要： | 目的:探讨老年患者胆囊结石特点,总结为老年患者行腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)的临床经验。方法:回顾分析1998年1月至2008年8月我院为762例60岁以上老年患者行LC的临床资料。结果:749例LC成功,其中行胆囊大部切除术5例,中转开腹13例,术中胆管损伤3例,胆漏3例,死亡1例,无其他严重并发症发生。结论:老年患者中急性胆囊炎和萎缩性胆囊炎所占比例较高,手术风险大。把握手术时机,积极处理合并症,为老年患者行LC是安全可行的。
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| 关 键 词： | 胆囊切除术,腹腔镜 老年人 胆囊炎,急性 萎缩性胆囊炎 |
Laparoscopic cholecystectomy in elderly patients:a clinical analysis of 762 cases |
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| WU Wu-jun,DU Li-xue,ZHANG Yu,et al.. Laparoscopic cholecystectomy in elderly patients:a clinical analysis of 762 cases[J]. Journal of Laparoscopic Surgery, 2009, 14(9): 687-689 |
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| Authors: | WU Wu-jun DU Li-xue ZHANG Yu et al. |
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| Affiliation: | WU Wu-jun,DU Li-xue,ZHANG Yu,et al.Dept.of Hepatobiliary Surgery,People's Hospital of Shanxi,Xi'an 710068,China |
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| Abstract: | Objective:To explore the clinical characteristics of cholecystolithiasis in elderly patients and summarize the experience of laparoscopic cholecystectomy(LC)for elderly patients.Methods:The clinical data of 762 aged patients with cholecystolithiasis who underwent LC from Jan.1998 to Aug.2008 were retrospectively analyzed.Results:LC succeeded in 749 patients including 5 cases of partial cholecystectomy.13 cases were converted to open surgery,3 cases had the biliary tract injury and 3 got biliary leakage.1 di... |
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| Keywords: | Cholecystectomy laparoscopic Aged Cholecystitis acute Atrophic cholecystitis |
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