摘要
目的探讨腹腔镜胆囊切除术在治疗老年人胆囊良性病变的应用。方法回顾性分析306例老年患者胆囊切除术的结果(其中并存心肺疾病94例,其他疾病52例,两种疾病12例)。结果306例中,慢性胆石性胆囊炎273例,急性胆囊炎6例,胆囊息肉23例,其他4例。治愈297例(97.06%),发生并发症9例(2.9%),无手术死亡。结论老年人尽管并存多种疾病,只要掌握适应症和禁忌症,术前充分准备,术中术后严密监护,都能顺利度过腹腔镜胆囊切除手术。
Objective To estimate the v al ue of laparoscopi c cholecystectomy (LC)in the elderly with benign lesions of the gallbladder.Methods The results of laparoscopic cholecystectomy in 306e lderly patients were analysed retrospectively.Results Among 306cases,there were calculou s cholecystitis in 273cases,acute c holecystitis in 6cases,a nd polyps i n 23cases.Two hundred ninety -seven patients got cured(97.0 6%).Complications occurred in 9cases(2.94%)and no patient died.Con clusions By careful preparation before opera tion,strict indication,careful m o nitoring during and after operation,even with co -existing cardiac and pulmo nary dysfunction,laparoscopic cholecystectomy is a safe and feasib le operation in the elderly patients.[
出处
《老年医学与保健》
CAS
2002年第3期165-166,共2页
Geriatrics & Health Care
