老年急性胆囊炎患者早期行腹腔镜胆囊切除术围术期处理分析

Analysis of the perioperative management of early laparoscopic cholecystectomy for the elder patients with acute cholecystitis

目的探讨老年急性胆囊炎患者早期行腹腔镜胆囊切除术(LC)围术期处理的方法。方法以60岁以上老年急性胆囊炎患者76例为治疗组,以同期收治的60岁以上老年非急性胆囊炎患者42例为对照组,均给予LC术,比较2组疗效。结果治疗组手术时间较对照组长,差异具有统计学意义(P<0.05);2组术后肛门排气时间、术后住院时间差异无统计学意义(P>0.05)。2组术后并发症发生率,差异无统计学意义(P>0.05)。结论只要充分围术期处理,掌握手术适应证,老年人早期行腹镜胆囊切除术是安全可行的。

Objective To investigate the methods of the perioperative management of early laparoscopic cholecystectomy for the elder patients with acute cholecystitis.Methods 76 cases of acute cholecystitis who were more than 60-year-old in our hospital were as the therapeutic group.42 cases of non-acute cholecystitis who were more than 60-year-old were as the control group.Two groups received laparoscopic cholecystectomy,and we compared the therapeutic effect of two groups after the treatment.Results The operative time of the therapeutic group was longer than that of the control one,and the result was significantly different（P0.05）.The test results of anal exhaust time and postoperative time of in-hospital in 2 groups were not significantly different（P0.05）.The incidence rate of postoperative complication in two groups was not significant difference（P0.05）.Conclusion As long as we adequately carry out perioperative management and master operative indication,it is safe and feasible to give early laparoscopic cholecystectomy for the elder patients with acute cholecystitis.