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。
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 cholccystectomy, 13 cases were converted to open surgery,3 cases had the biliary tract injury and 3 got biliary leakage. 1 died because of acute myocardial infarction and no other serious complications were observed. Conclusions：The incidence of acute and atrophic cholecystitis is high in elderly patients, which results in high risk for LC. With perfect controlling of complications and strict mastering of indieation,LC for elderly, patients is safe and feasihle.
出处
《腹腔镜外科杂志》
2009年第9期687-689,共3页
Journal of Laparoscopic Surgery
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
Cholecystectomy, laparoscopic
Aged
Cholecystitis, acute
Atrophic cholecystitis
