老年、高危病人超低压气腹腹腔镜胆囊切除术

Laparoscopic cholecystectomies with low pressure of pneumoperitoneum in high risk senile patients

目的探讨低压气腹在老年、合并心肺疾病患者腹腔镜胆囊切除术中的临床价值。方法术中气腹机的压力值预设为8mmHg,根据术中情况再适当调高或调低气腹压力值。结果75例老年、高危患者行腹腔镜胆囊切除术,气腹压力值控制在6～10mmHg,3例因暴露欠佳气腹压调至12mmHg。除2例中转开腹外,无死亡病例,无严重并发症。结论采用低压气腹腹腔镜胆囊切除术,降低了老年、高危患者因气腹而引起的并发症风险,扩大了手术适应证。

[Objective] To discuss the clinical value of laparoscopie cholecystectomy with low pressure pneumoperitoneum in high risk senile patients with eardiopulmonary complications. [Methods] The pressure of insufflator was preset at 8 mmHg and regulated to the state of patient in the proper range during operation. [ Results ] The pressure of pneumoperitoneum was preset at pressure between 6-10 mmHg in 75 eases with laparoseopie eholeeystectomies, except for 3 eases were regulated to 12 mmHg due to inadequate operative exposure. 2 eases were converted to open procedures,no death or severe complication occurred. [Conclusion] It decreased the risk of complications pneumoperitoneum interrelated, and enlarged the indieatios of laparoscopic cholecysteetomies in high risk senile patients.