老年急性结石性胆囊炎微创治疗体会

Laparoscopic Treatment for Acute Cholecystolithiasis in Aged Patients

目的探讨老年急性结石性胆囊炎的特点及外科治疗注意事项。方法回顾性分析笔者所在科室2008年1月～2010年5月期间24例60岁以上急性结石性胆囊炎患者临床资料。结果24例患者均成功施行Lc术，其中4例合并胆总管结石采用EST＋LC，1例继发急性胰腺炎，采用ENBD＋LC；2例为直肠癌术后；2例术后病理示胆囊癌。术后均顺利恢复，未出现严重并发症。结论老年结石性胆囊炎多病程较长，合并症较多，采用微创手术有助于术后恢复。

Objective To evaluate the specialty in treatment of cholecystolithiasis in aged patients. Methods The clinical data of 24 aged patients with cholecystolithiasis retrospectively from January 2008 to May 2010 were reviewed. Results LC succeeded in all of 24 patients,among which 4 cholecystolithiasis complicated with secondary common bile duct stones were treated with EST ＋ LC and another 1 cholecystolithiasis resulting in acute pancreatitis was done with ENBD ＋ LC. All patients recovered soon without any complications bisides 2 unexpected gall bladder cancinomas were found by pathological examination. Conclusion LC is a secutive and effective method to deal with acute cholecystolithiasis in aged patients.