腹腔镜胆囊切除术治疗老年患者急性结石性胆囊炎48例临床体会

发布时间：2018-01-29 02:50

本文关键词： 老年性急性结石性胆囊炎腹腔镜胆囊切除术　出处：《中华肿瘤防治杂志》2016年S1期 　论文类型：期刊论文

【摘要】：目的探讨腹腔镜胆囊切除术治疗老年患者急性结石性胆囊炎的临床体会。方法回顾分析我院2007-01-2013-01收治的48例老年急性结石性胆囊炎患者行腹腔镜胆囊切除术的临床资料。结果腹腔镜胆囊切除术45例,中转开腹3例,42例行胆囊全切术,3例行胆囊次全切除术手术时间50~180min,平均110min。住院时间4~12d,平均6d,全部患者痊愈出院。结论对待老年急性结石性胆囊炎患者,只要加强围手术期的护理,积极而慎重处理,术中仔细操作,减少术中出血,控制好手术时间,适时中转开腹,老年急性结石性胆囊炎患者行腹腔镜胆囊切除术是安全可靠的。
[Abstract]:Objective to explore the clinical experience of laparoscopic cholecystectomy in the treatment of acute calculous cholecystitis in elderly patients. Methods 48 elderly patients with acute calculous cholecystitis treated in our hospital from January to January 2013 were retrospectively analyzed. Clinical data of patients with inflammation underwent laparoscopic cholecystectomy. Results Laparoscopic cholecystectomy was performed in 45 cases. Conversion to laparotomy was achieved in 42 cases. Total cholecystectomy was performed in 3 cases and subtotal cholecystectomy was performed in 3 cases, with an average of 110 minutes (50 ~ 180 min), and hospital stay was 412 days (average 6 days). Conclusion for the elderly patients with acute calculous cholecystitis, we should only strengthen the perioperative nursing care, actively and carefully handle it, operate carefully during the operation, reduce the bleeding during operation and control the operation time. It is safe and reliable for elderly patients with acute calculous cholecystitis to undergo laparoscopic cholecystectomy.
【作者单位】：贵州省职工医院;
【分类号】：R657.4
【正文快照】： 中华肿瘤防治杂志,2016,23(S1):267-268腹腔镜手术具有创伤小、恢复快、病痛轻的优点,已成为治疗胆囊良性疾病的金标准。随着腹腔镜技术的飞速发展、临床经验的丰富、检查设备及操作技术的不断提高。在基层医院老年急性结石性胆囊炎患者行LC术成为现实。我院2007-01-2013-01为

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