老年人腹腔镜胆囊切除术2335例报告

Laparoscopic cholecystectomy in Aged patients：report of 2 335 cases

目的：探讨在治疗老年患者胆囊良性疾病中，腹腔镜胆囊切除术（Laparoscopic Cholecystectomy，LC）的疗效。方法：总结分析2335例老年患者胆囊良性疾患行LC手术。结果：2335例中有慢性胆囊炎胆结石、胆石症急性发作者、胆囊萎缩者、非结石性胆囊炎及胆囊息肉，全部行LC，无中转开腹手术。结论：做好同手术期处理，控制好并存的疾病，如心、脑血管病及糖尿病等。具备熟练掌握腔镜操作技术的医生，尽量缩短手术时间，老年人LC是安全可行的，是首选的手术治疗方案。

Objective： To study the effect of treating gallbladder benign disease with Laparoscopic Cholecystectomy in aged patients. Methods： 2335 cases of Laparoscopy Cholecystectomy in aged patients were analyzed and summarized. Results： 2335 cases including：chronic calculous cholecystitis, cholelithiasis acute attack,gallbladder atrophy,non-calculous cholecystitis and gallbladder polyp,all of them were successfully performed in Laparoscopic Cholecystectomy. Conclusions： Affention should bepaizlto, perioperative management, cure concun＇ent diseases,such as：heart and cerebrovaseular disease, diabetes shouht be trealed. Cautious operation and perfect technolohy, shorter operative time,Laparoscopic Cholecystectomy is safe and feasible ill aged patients,it is preferred operative method.