摘要
对３２例老年胆囊结石、胆囊息肉患者经腹腔镜胆囊切除术（ｌａｐａｒｏｓｃｏｐｉｃｃｈｏｌｅｃｙｓｔｅｃｔｏｍｙ，ＬＣ）进行了总结。３２例中，慢性胆囊炎、胆囊结石２０例，胆囊息肉４例，急性胆囊炎６例，胆囊癌２例，病程２８天～２３年。ＬＣ治愈３０例，术后２４小时均恢复肠蠕动，进流食，下床活动，术后住院４～７天。该手术创伤小，疼痛轻，胃肠道功能恢复快，更适于老年人或伴有心肺疾病的患者。中转开腹手术２例（６．３％），其中１例因胆囊与周围组织紧密粘连，无法分离，开腹后诊断胆囊癌，行胆囊及胆囊床楔形切除，局部淋巴结切除术；另１例因术中胆囊动脉出血，开腹行胆囊切除术。我们认为良好的围手术期处理，老年人可以耐受腹腔镜胆囊切除术，但术前对并存症进行有效的控制及术中加强监测至关重要。
Abstract Laparoscopic cholecystectomy was performed in 32 elderly cases. In 30 cases the operation was successful.but 2 cases(6.3%) required open cholecystectomy. There was no serious postoperative complieation. We believe that the elderly can tolerate laparoscopic cholecystectomy under careful perioperative management. It is very important to have effective control of cardiovascular and pulmonary complications before operation, and to have intensive monitoring during operation.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
1994年第4期212-214,共3页
Chinese Journal of Geriatrics
