腹腔镜对老年急性结石性胆囊炎治疗的可行性

The feasibility of treating acute cholecystitis in the aged patients by Laparscopic

目的探讨腹腔镜下采取不同术式对老年急性结石性胆囊炎治疗的可行性。方法 2001-06～2009-06对106例60岁以上急性结石性胆囊炎腹腔镜治疗进行回顾分析。结果其中90例行常规腹腔镜胆囊切除术(LC),10例在腹腔镜下行胆囊造瘘术,6例行胆囊大部分切除术。中转开腹3例,无死亡,术后无严重并发症发生,均痊愈出院。结论选择LC治疗老年急性结石性胆囊炎是可行的。

Objective To study the feasibility of treating acute cholecystitis in the aged patients by different Laparscopic surgical operation. Methods A restropective evaluation was done to analyze the treatment of 106 patients over 60 years of age with acute cholecystitis by Laparscopic surgery. Results A total of 90 cases were treated by conventional Laparscopic cholecystectomy,Ten patients were treated by make fistula on cholecy under Laparscopic surgical operation. There were 6 cases were treated by subtotal cholecystectomy, and three patients were trated by open surgery. There were no cases of postoperative death and sever complications. All of the patiens were discharged with full recovery. Conclusion It is feasibilitable to treat acute cholecystitis in the aged patients with Laparscopic cholecystectomy.