CAJ | 학술논문

目的：探讨高龄急性胆囊炎患者行腹腔镜胆囊切除术（Lc）的临床效果。方法回顾性分析150例Lc患者的临床资料，其中急性结石性胆囊炎123例，单纯胆囊息肉样病变11例，单纯胆囊颈结石嵌顿8例，胆源性胰腺炎8例。结果150例高龄急性胆囊炎行Lc手术患者成功132例，成功率为88.0%，中转开腹手术18例；术后出现并发症合并肺部感染4例，创口感染3例，经积极治疗处理，患者均已康复出院。结论高龄急性胆囊炎患者行Lc具有创伤小、时间短、并发症少、术后康复快等优势，降低手术风险，且安全可行。
목적：탐토고령급성담낭염환자행복강경담낭절제술（Lc）적림상효과。방법회고성분석150례Lc환자적림상자료，기중급성결석성담낭염123례，단순담낭식육양병변11례，단순담낭경결석감돈8례，담원성이선염8례。결과150례고령급성담낭염행Lc수술환자성공132례，성공솔위88.0%，중전개복수술18례；술후출현병발증합병폐부감염4례，창구감염3례，경적겁치료처리，환자균이강복출원。결론고령급성담낭염환자행Lc구유창상소、시간단、병발증소、술후강복쾌등우세，강저수술풍험，차안전가행。
Objective To study of acute cholecystitis in elderly patients with laparoscopic cholecystectomy(Lc)in the clinical treatment of.Methods Retrospective analysis of the clinical data of 150 cases of Lc patients,including 123 cases of acute calculous cholecystitis,simple galbladder polypoid lesions in 11 cases,simple neck of galbladder calculus incarceration in 8 cases,8 cases of biliary pancreatitis.Results 150 cases of acute cholecystitis in aged patients underwent Lc operation was successful in 132 patients,the success rate was 88.0%,18 cases were converted to open operation;postoperative complications in 4 cases of pulmonary infection,3 cases of wound infection,after active treatment, have been discharged.Conclusion Acute cholecystitis in elderly patients with emergency Lc has smal trauma,short time,fewer complications,faster postoperative recovery and other advantages,reduce the operation risk,safe and feasible.