摘要
目的探讨老年人急性胆囊炎的临床特点,更好地把握腹腔镜胆囊切除术(LC)的时机和方法。方法回顾分析老年急性胆囊炎 LC 的临床资料。结果 52例急性发作患者48 h 内行 LC 术,均获成功,患者全部治愈,未发生严重并发症。结论老年人急性胆囊炎病情进展快,手术难度大、风险高;只要高度重视围手术期的处理,把握好手术时机及技巧,早期 LC 是安全、可行的;除病情危重不能耐受手术者外,多数患者均能早期施行 LC。
Objective To explore the clinical features and surgical management of aged patients with acute cholecystitis,and try to command the opportunity and procedure of laparoscopic cholecystectomy（LC） better. Methods Clinical data of 52 aged cases with acute cholecystits undergone LC were analyzed retrospectively. Results All of the patients（within 48h of the acute attack） were successfully recovered without serious operative complications. Conclusion Aged acute cholecystitis progressed rapidly and its operative difficulty and risk were higher;only if more attention was paid to perioperative managements and operative time and technical skill were mastered, early LC for the patients was safe and feasible. Therefore, it should be recommended in the great majority of cases except the desperate patients whose general condition was too poor to operate.
出处
《中国基层医药》
CAS
2007年第7期1105-1106,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
腹腔镜
胆囊切除术
手术时机
手术方法
老年人
Laparoscopy, cholecystectomy
Operative opportunity
Operative procedure
Aged
