急诊腹腔镜胆囊次全切除术治疗老年急性胆囊炎的应用

Emergency laparoscopic subtotal cholecystectomy for the acute cholecystitis in aged patients

目的:探讨腹腔镜胆囊次全切除术治疗老年急性胆囊炎的安全性和临床价值。方法:回顾分析2002年2月至2010年2月为45例老年急性胆囊炎患者施行急诊腹腔镜胆囊次全切除术的临床资料。结果:45例手术均获成功,2例发生胆漏,均于1周内保守治疗痊愈,2例切口感染。结论:老年患者急性胆囊炎病情复杂,合并症多,手术难度较大,在特定情况下行胆囊次全切除术是安全、有效的,具有一定临床应用价值。

Objective：To investigate the safety and clinical value of laparoscopic subtotal cholecystectomy（LSC） for the acute cholecystitis in aged patients.Methods：Clinical data of 45 elder patients with the acute cholecystitis underwent LSC from Feb.2002 to Feb.2010 were analyzed retrospectively.Results：All the patients were completed successfully with LSC.2 cases with incision infection and 2 cases with bile leakage were cured by conservative management within 7d.Conclusions：LSC is feasible and safe for aged patients with acute cholecystitis.