| 老年人腹腔镜胆囊切除术的围手术期处理 |
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| 引用本文： | 唐喜成,舒清伟.老年人腹腔镜胆囊切除术的围手术期处理[J].腹部外科,2008,21(2):88-89. |
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| 作者姓名： | 唐喜成 舒清伟 |
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| 作者单位： | 湖南省溆浦县中医院肝胆外科,419300 |
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| 基金项目： | 致谢：中南大学湘雅三医院刘海教授在腹腔镜外科技术和本论文写作方面给予指导. |
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| 摘 要： | 目的探讨老年人腹腔镜胆囊切除术围手术期处理方法。方法回顾性分析我院2000年9月-2007年11月对760例老年胆囊疾病病人行腹腔镜胆囊切除术的临床资料。结果本组有748例成功实施了腹腔镜胆囊切除术，有12例因炎性粘连或机械故障等原因中转开腹。腹腔镜手术时间为30-100min，平均40min。术中平均出血量为20ml。发生手术后并发症11例。术后平均住院时间4d。结论只要重视围手术期的处理，对老年病人也可以安全地施行腹腔镜胆囊切除术。
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| 关 键 词： | 胆囊切除术 腹腔镜 老年人 围手术期医护 |
| 修稿时间： | 2008年1月14日 |
Perioperative management of laparoscopic cholecystectomy in the elderly |
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| TANG Xi-cheng,SHU Qing-wei.Perioperative management of laparoscopic cholecystectomy in the elderly[J].Journal of Abdominal Surgery,2008,21(2):88-89. |
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| Authors: | TANG Xi-cheng SHU Qing-wei |
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| Institution: | TANG Xi-cheng, SHUQing- wei. (Department of Hepatobiliary Surgery, Traditional Chinese Medicine Hospital of Xupu County, Xupu 419300, China) |
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| Abstract: | Objective To investigate the experience in the management of laparoscopic cholecystectomy(LC)in the elderly with gallbladder diseases.Methods Seven hundred and sixty elderly patients admitted from Sep. 2000 to Nov. 2007 underwent laparoscopic exploration with intention of cholecystectomy for gallbladder diseases in our hospital,and the clinical data of these patients were analyzed retrospectively.Results LC was successfully performed on 748 cases,and the other 12 cases were converted to open surgery because of dense inflammatory adhesion or instrument problems;the operating time was 30 to 100 min(mean 40 min);the average blood loss was 20 ml;postoperative morbidities occurred in 14 cases;the average postoperative hospital stay was 4 days.Conclusion With the proper perioperative management and technique refinement,LC is a safe surgical operation in selective elder patients. |
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| Keywords: | Cholecystectomy laparoscopic Aged Perioperative care |
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