CAJ | 학술논문

目的：比较腹腔镜胆囊切除术（LC）与开腹式胆囊切除术（OC）治疗老年患者急性胆囊炎的安全性和有效性。方法选择从2007年1月至2012年12月收治的年龄超过70岁急性胆囊炎患者76例，分别采用LC（34例）与OC（42例）治疗。观察两组的手术时间、术中失血、术后住院时间和术后并发症。结果两组患者手术均顺利完成胆囊切除术，且LC 组无中转开腹的病例。LC 组的手术时间为95．2±19．7 min，OC 组的手术时间为86．8±21．2 min，两者差异无统计学意义；LC 组术中失血＞500 mL 的有2例（5．9％），OC 组术中失血＞500 mL 的有8例（19．0％）（P＜0．05）；LC 组的术后住院时间明显少于 OC 组（P＜0．01）。总共有24例患者在术后出现了并发症（31．6％），其中LC 组的术后并发症明显少于OC 组（P＜0．05）。结论急性胆囊炎老年患者行腹腔镜胆囊切除术治疗能缩短术后住院时间和减少术后并发症发生率。
목적：비교복강경담낭절제술（LC）여개복식담낭절제술（OC）치료노년환자급성담낭염적안전성화유효성。방법선택종2007년1월지2012년12월수치적년령초과70세급성담낭염환자76례，분별채용LC（34례）여OC（42례）치료。관찰량조적수술시간、술중실혈、술후주원시간화술후병발증。결과량조환자수술균순리완성담낭절제술，차LC 조무중전개복적병례。LC 조적수술시간위95．2±19．7 min，OC 조적수술시간위86．8±21．2 min，량자차이무통계학의의；LC 조술중실혈＞500 mL 적유2례（5．9％），OC 조술중실혈＞500 mL 적유8례（19．0％）（P＜0．05）；LC 조적술후주원시간명현소우 OC 조（P＜0．01）。총공유24례환자재술후출현료병발증（31．6％），기중LC 조적술후병발증명현소우OC 조（P＜0．05）。결론급성담낭염노년환자행복강경담낭절제술치료능축단술후주원시간화감소술후병발증발생솔。
Objective To compare the effects between laparoscopic cholecystectomy (LC) and open cholecystectomy (OC) for acute cholecystitis in elderly patients. Methods From January 2007 to December 2012,76 cases over 70 years old with acute cholecystitis were included in this study. Among them, 34 underwent LC (LC group) and 42 underwent OC (OC group). The operating time, blood loss, postoperative hospital stay and complications were analyzed between two groups. Results All operations were completed successfully without conversion to open surgery in LC patients. Operating time in LC group was 95.2±19.7 min and 86.8±21.2 min in OC group. There were two patients in LC group with blood loss more than 500 mL and eight patient in OC group (P<0.05). Mean postoperative hospital stay in LC group was significantly shorter than that in OC group (P<0.01). There were 24 cases of postoperative complications (31.6%), the complications in LC group was also less than that in OC groupa (P<0.05). Conclusion Laparoscopic cholecystectomy could shorten postoperated hospital stay and reduce complications.