CAJ | 학술논문

目的：探讨腹腔镜胆囊大部切除术在老年急性坏疽性胆囊炎中应用的可行性.方法：回顾2007年1月~2012年5月间老年急性胆囊炎行腹腔镜胆囊切除术(LC)106例患者，所有患者术前均无肺部感染、6月内无急性心梗，无严重心肺等重要器官功能不全等手术禁忌证.其中13例老年急性坏疽性胆囊炎患者行腹腔镜胆囊大部分切除术，同期93例老年急性胆囊炎(包括部分急性坏疽性胆囊炎)患者行常规方法腹腔镜胆囊切除术，在手术疗效及并发症方面进行分析.结果：腹腔镜胆囊大部分切除术组在手术时间和手术并发症、中转开腹率方面明显要优于常规方法 LC 组(P <0.01)，在住院时间、住院费用方面并无明显不同(P >0.05).结论：腹腔镜胆囊大部切除术在老年急性坏疽性胆囊炎中的应用是安全可行的.
목적：탐토복강경담낭대부절제술재노년급성배저성담낭염중응용적가행성.방법：회고2007년1월~2012년5월간노년급성담낭염행복강경담낭절제술(LC)106례환자，소유환자술전균무폐부감염、6월내무급성심경，무엄중심폐등중요기관공능불전등수술금기증.기중13례노년급성배저성담낭염환자행복강경담낭대부분절제술，동기93례노년급성담낭염(포괄부분급성배저성담낭염)환자행상규방법복강경담낭절제술，재수술료효급병발증방면진행분석.결과：복강경담낭대부분절제술조재수술시간화수술병발증、중전개복솔방면명현요우우상규방법 LC 조(P <0.01)，재주원시간、주원비용방면병무명현불동(P >0.05).결론：복강경담낭대부절제술재노년급성배저성담낭염중적응용시안전가행적.
Objective:To investigate the medical feasibility and clinical value of Laparoscopic subtotal cholecystectomy ( LSC) in elderly pa-tients with acute gangrenous cholecystitis.Methods: Clinical data of 13 elderly patients who underwent LSC and 93 elderly patients who underwent LC from JAN,2007 to May,2012 were analyzed.Results: LSC was obviously superior to the Laparoscopic cholecystectomy ( LC) in the operation time,opera-tion complications and the rate of transferring operation.On the other hand,it was not significantly different in the length of hospital stay and the hospitali -zation expenses.Conclusion: LSC is feasible and safe for elderly patients with acute gangrenous cholecystitis.