老年急性胆囊炎合并心肺血管疾病患者腹腔镜治疗

Laparoscopic Cholecystectomy(LC)for Aged Patients with Acute Cholecystitis and Complic Pulmonary Vascular Disease

目的:总结老年急性胆囊炎息者合并心肺血管疾病腹腔镜治疗经验。方法:对2004年1月～2007年12月期间,我院老年急性胆囊炎合并心肺血管疾病患者腹腔镜治疗效果进行回顾性分析。结果:115例成功行腹腔镜胆囊切除术的老年急性胆囊炎患者,合并心肺血管疾病患者与无心肺血管疾病患者相比,两组患者手术时间、恢复饮食时间、腹腔引流量、住院天数、并发症发生率及中转开腹之间的差异无统计学意义。结论:正确掌握手术适应症、术前全面评估患者,充分准备,术中仔细操作,术中、术后加强监护和处理,LC 对合并心肺血管疾病老年急性胆囊炎患者是安全有效的。

Objective：To study the experience of Laparoscopic choleeystectomy（LC） for the aged patients with Acute Cholecystitis and eomplic puhnonary vascular disease. Methods： The clinical data of aged patients with cholecystitis treated by laparoscopic cholecystectomy were retrospectively analyzed during January 2004 to December 2007. Results： 115 aged patients with Acute Cholecystitis treated by laparoscopic cholecystectomy successfully, the patients with puhnonary vascular disease compared to the other group, there was no significant different in the time of operation and stomach intestine tunctional recovery, hospital day, the quantity of flowing liquid from abdominal cavity after operation, incidence rate of complication and medium turn to open stomach. Conclusion： Grasping operation indication correctly, evaluate patient overall preoperative, suffice preparation, intensive care and deal with during operation and post. Laparoscopic cholecystectomy （LC） is safe and effective for the aged patients with Acute Choleeystitis and complic pulmonary vascular disease.