摘要
目的:探讨老年患者腹腔镜胆囊切除术(LC)的安全性及围术期的处理。方法:回顾性比较、分析老年患者胆囊疾病腹腔镜胆囊切除术(LC)组及开腹胆囊切除术(OC)组的临床资料,其中并存疾病为心血管系统疾病、呼吸系统疾病、糖尿病、慢性肾功能不全、慢性肝病肝硬化等。结果:OC组平均术后住院天数、自主下床活动时间、肠功能恢复时间较LC组显著延长,差异有统计学意义(P<0.01),而平均手术时间、术后腹腔引流量两组比较,差异无统计学意义(均P>0.05)。结论:老年胆囊疾病患者在术前重视并存疾病的治疗、术中及术后监测的基础上,LC更能显示其创伤小、恢复快的优越性,是安全可靠的手术方法。
Objective：To investigate the safety and perioperative period managements in elderly patients who underwent laparoscopic cholecystectomy（LC）.Methods：The clinical data of elderly patients with cholecystitis treated by laparoscopic cholecystectomy were retrospectively analyzed and compared with that of patients treated by open cholecystectomy（OC）.Most of the patients were concomitant with high risk factors,such as poor cardiopulmonary function,respiratory diseases,severe diabetes mellitus,chronic hepatic cirrhosis or renal dysfunction.Results：The patients treated by OC had longer postoperative recovery,resumed normal intestinal peristalsis slower and were discharged from hospital later,which had sig nificantly stastical difference（P〈0.01）.But there was no significant different in the mean time and the quantity of flowing liquid from abdominal cavity after operation between the two groups（P〈0.05）.Conclusion：LC is safe and feasible for elderly patients with gallbladder diseases.Preoperative evaluation of concomitant disease,intra-operative and post operative monitoring have allowed LC to reveal its advantage in micro-injury and quickly recovery.
出处
《中国当代医药》
2010年第11期35-37,共3页
China Modern Medicine
关键词
老年患者
腹腔镜胆囊切除术
围术期
Elderly patients
Laparoscopic cholecystectomy
Perioperative period
