老年人腹腔镜胆囊切除术68例临床分析

目的总结老年人腹腔镜胆囊切除术的临床特点,并探讨预防和减少并发症的方法。方法回顾性分析68例腹腔镜胆囊切除术的老年患者的临床资料。结果68例老年患者行腹腔镜胆囊切除术,中转开腹1例,无出血等其他严重并发症,无死亡病例。结论腹腔镜胆囊切除术是老年人胆囊良性病变首选治疗方法,而术前充分准备,术中严密观察,及时中转开腹,是预防和减少并发症的关键。

Objective To summarize the clinical characteristic of elderly patients treated with laparoscopic cholecystectomy and discuss how to prevent and reduce complications.Methods The clinical data of laparoscopic cholecystectomy in 68 elderly patients were analyzed retrospectively.Results Within laparoscopic cholecystectomy in 68 cases of elderly patients,one case of them was converted to open surgery,no bleeding or other severe complications observed,no death occurred.Conclusion Laparoscopic cholecystectomy is the fi rst choice in elderly patients who have benign lesion of the gallbladder.Careful perioperation management,intensive observation intraoperation,and converting to open surgery timely are key points to prevent and reduce complications with laparoscopic cholecystectomy.