老年胆石症患者经腹腔镜微创取石的诊疗体会

Experience in the Treatment of the Elderly Patients with Gallstone by Laparoscopic Minimally Invasive

分析老年胆石症患者经腹腔镜联合胆道镜保胆取石的效果。选择在我院经手术治疗的221例胆石症患者作为研究对象。其中162例经腹腔镜联合胆道镜下保胆取石(观察组),另59例经腹腔镜下胆囊切除手术(对照组)。考察平均手术时间、术中出血量、术后肛门排气时间、下床活动时间、平均住院时间、术后并发症。观察组平均术中出血量,显著少于对照组;平均下床活动和平均住院时间均较对照组更短(P<0.05)。2个组术后并发症的差异有统计学意义(P<0.05)。腹腔镜联合胆道镜微创术保胆取石安全性高,临床效果显著,尤其不影响老年患者术后胆囊正常的生理功能。

The article is to retrospectively analyze the clinical effect in elderly patients with laparoscopic combining choledochoscope lithotomy while keeping the gallbladder. A total of 221 patients with gallstone disease were accepted by the surgical treatment in our hospital, which were named as the study research object. Among them, 162 patients received laparoscopic joint under choledochoscope biliary lithotomy （as the observation group）, and another 59 patients received laparoscopic gallbladder surgery （as the control group）. The authors inspected with the average operation time, intraoperative blood loss, postoperative anal exhaust time, ambulation time, average hospital stay, postoperative complications. The indicators of the average intraoperative blood loss, the results in observation group was significantly less than the control group （P〈0.05）. Also the average bed activity time, average hospital stay, the results in observation group was shorter than the control group （P〈0.05）. The 2 groups of postoperative complications has the statistically significant difference （P〈0.05）. The use of laparoscopy combined with minimally invasive surgical treatment of bile duct stone was very safe and effective. Especially for elderly patients, the normal physiological function of the gallbladder is not affected by it.