老年人急性胆囊炎腹腔镜胆囊切除术50例临床分析

Cinical analysis on laparoscopic cholecystectomy for acute cholecystitis in 50 elder patients

目的探讨老年人急性胆囊炎的腹腔镜治疗特点。方法将我院2002年1月至2006年12月收治的50例腹腔镜胆囊切除术(LC)老年病例急性发作期(48～72h内),与非老年人组50例进行比较分析。结果老年人组较非老年人组LC手术时间,平均住院时间延长;LC中转开腹胆囊切除术(OC)率两组无差异。结论严格把握LC适应证,老年急性胆囊炎病人可早期施行LC。

Objective To study the characteristics of laparoscopic cholecystectomy （LC） for acute cholecystitis（AC） in eider patients. Methods The clinicaI data of 50 elder patients received LC during January 2002 to December 2006 were retrospectiveIy analyzed. The early AC was manifested as sudden onset within 48 to 72 hours. The group of elder patients received LC was compared with the group of 50 non - old pa- tients received LC. Results The average operation time and postoperative hospitalization of group of elder patients were longer than those of group of non - old patients. The rate of open cholecystectomy in these two groups was no significant difference. Conclusion The indication for LC should be strictly grasped, and LC can be taken earlier in eider patients with acute cholecystitis.