80岁以上高龄患者腹腔镜胆囊切除术的临床分析

Clinical analysis of laparoscopic cholecystectomy in elderly patients

目的评价80岁以上高龄患者腹腔镜胆囊切除术的可行性和临床价值。方法回顾分析74例80岁以上高龄胆囊结石患者的临床资料。结果所有手术患者均痊愈出院,其中31例患者接受腹腔镜胆囊切除术,手术患者平均住院时间为11.3 d,术前准备时间平均为5.76 d。结论通过加强围术期处理,大多数高龄老年患者行腹腔镜胆囊切除手术是安全可靠的。

Objective To evaluate the feasibility and clinical value of laparoscopic cholecystectomy in patients over the age of 80.Methods The clinical data of 74 elderly patients over 80-year-old with cholecystolithiasis were retrospective analysed.Results All patients were healed and 31 of them acceppted laparoscopic cholecystectomy successfully.Average of days in hospital were 11.3,average of preoperative preparation days were 5.76.Conclusion Laparoscopic cholecystectomy is safe for most patients with great age by strengthening the treatment of peroperative period.