| 日间手术腹腔镜胆囊切除1240例分析 |
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| 引用本文： | 刘博,李成刚,陈继业,刘洋,孟翔飞,董家鸿,黄志强. 日间手术腹腔镜胆囊切除1240例分析[J]. 临床肝胆病杂志, 2011, 27(9): 912-915 |
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| 作者姓名： | 刘博 李成刚 陈继业 刘洋 孟翔飞 董家鸿 黄志强 |
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| 作者单位： | 中国人民解放军总医院肝胆外科,北京,100853 |
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| 摘 要： | 目的探讨日间手术腹腔镜胆囊切除（LC/DS）的可行性和安全性,评价65岁以上老年患者LC/DS手术的效果。方法回顾性分析2009年11月至2010年12月我院1240例LC/DS临床资料,分析其并发症、延迟出院和再入院原因。比较65岁以下和老年患者LC/DS治疗效果。结果 1240例中1236例LC/DS手术成功,中转开腹4例（0.32%）。共发生6例（0.48%）并发症。延迟出院125例（10.1%）,其中49例（39.2%）因心理因素延迟出院,34例（27.2%）因手术后呕吐和腹痛延迟出院。再入院15例（1.2%）,8例因胆囊癌再入院。老年患者LC/DS无严重并发症,患者满意度与65岁以下组差异无统计学意义（P〉0.05）,延迟出院和再入院比例高于65岁以下组（P〈0.01）。结论日间手术腹腔镜胆囊切除安全可行,经选择的老年患者同样适合LC/DS医疗模式。心理因素、呕吐和腹痛是导致患者延迟出院的主要原因。
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| 关 键 词： | 胆囊疾病 胆囊切除术,腹腔镜 日间手术 |
The analysis of 1240 cases of laparoscopic cholecystectomy performed during the day time |
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| LIU Bo,LI Cheng-gang,CHEN Ji-ye,et al.. The analysis of 1240 cases of laparoscopic cholecystectomy performed during the day time[J]. Chinese Journal of Clinical Hepatology, 2011, 27(9): 912-915 |
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| Authors: | LIU Bo LI Cheng-gang CHEN Ji-ye et al. |
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| Affiliation: | LIU Bo,LI Cheng-gang,CHEN Ji-ye,et al.(Department of Hepatobiliary Surgery,General Hospital of Chinese People′s Liberation Army,Beijing 100853,China) |
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| Abstract: | Objective To explore the feasibility and safety of day surgery laparoscopic cholecystectomy(LC/DS),and to evaluate the outcome of LC/DS in aged patients(more than 65 years).Methods 1240 patients undergoing LC/DS in our hospital between November 2009 and December 2010 were retrospectively studied.The complications and reasons of delayed discharge and readmission were analyzed.The treatment effectiveness of LC/DS in aged patients was compared with that of patients younger than 65 years.Results Among 1240 pati... |
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| Keywords: | gallbladder diseases cholecystectomy laparoscopic day surgery |
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