医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2015年
33期
369-369
,共1页
腹腔镜胆囊切除术%高龄患者%慢性胆囊炎急性发作
腹腔鏡膽囊切除術%高齡患者%慢性膽囊炎急性髮作
복강경담낭절제술%고령환자%만성담낭염급성발작
Laparoscopic cholecystectomy%Elderly patients%Acute exacerbation of chronic cholecystitis
目的探讨急诊腹腔镜胆囊切除在治疗高龄患者慢性胆囊炎急性发作中的应用。方法回顾性分析近两年我院981例高龄患者行急诊腹腔镜胆囊切除术的临床资料,比较两组术中出血量。结果981例均为慢性结石性胆囊炎急性发作,中转开腹胆囊切除术10例,肝总管损伤2例,并发肺部感染2例,均获治愈。治疗组术中出血量明显低于对照组(32.818±13.292g vs 52.368±14.322g,=-15.44,<0.0001),全部病例未发生深静脉血栓。结论慢性胆囊炎急性发作的高龄患者,由有经验的外科医生规范的操作,施行急诊腹腔镜胆囊切除术是安全可行的手术方法。
目的探討急診腹腔鏡膽囊切除在治療高齡患者慢性膽囊炎急性髮作中的應用。方法迴顧性分析近兩年我院981例高齡患者行急診腹腔鏡膽囊切除術的臨床資料,比較兩組術中齣血量。結果981例均為慢性結石性膽囊炎急性髮作,中轉開腹膽囊切除術10例,肝總管損傷2例,併髮肺部感染2例,均穫治愈。治療組術中齣血量明顯低于對照組(32.818±13.292g vs 52.368±14.322g,=-15.44,<0.0001),全部病例未髮生深靜脈血栓。結論慢性膽囊炎急性髮作的高齡患者,由有經驗的外科醫生規範的操作,施行急診腹腔鏡膽囊切除術是安全可行的手術方法。
목적탐토급진복강경담낭절제재치료고령환자만성담낭염급성발작중적응용。방법회고성분석근량년아원981례고령환자행급진복강경담낭절제술적림상자료,비교량조술중출혈량。결과981례균위만성결석성담낭염급성발작,중전개복담낭절제술10례,간총관손상2례,병발폐부감염2례,균획치유。치료조술중출혈량명현저우대조조(32.818±13.292g vs 52.368±14.322g,=-15.44,<0.0001),전부병례미발생심정맥혈전。결론만성담낭염급성발작적고령환자,유유경험적외과의생규범적조작,시행급진복강경담낭절제술시안전가행적수술방법。
Objective To estimate the value of laparoscopic cholecystectomy (LC)in senile patients with acute at ack of chronic cholecystitis.Methods The results of LC in 981 senile patients were analysed retrospectively,and compare the amount of bleeding during operation between two groups.Results 981 caseswere chronic calculous cholecystitis acute episodes,converted to openchlecystectomy because of operative dif iculty 10 cases,injuryed common hepaticduct 2 cases.complicated pulmonary infection 2 cases.The amount of bleeding during operation of trentment group were lower than contror group (32.818±13.292gvs52.368±14.322g, =-15.44, <0.0001).Al patients didn,toccured deep vein thrombosis.Conclusion Emergency LC is safe and feasible in senile patients,when it is performed normatively by experienced surgeon.
