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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。
Objective To investigate the clinical effect of laparoscopic cholecystectomy (Lc) in elderly patients with acute cholecystitis. Methods The clinical data of 150 patients with Lc were retrospectively analyzed. Among them, 123 cases were acute calculous cholecystitis, 11 cases were simple gallbladder polypoid lesions, 8 cases were simple gallstone neck incarceration and 8 cases were biliary pancreatitis. Results 150 cases of elderly patients with acute cholecystitis Lc operation in patients with successful 132 cases, the success rate was 88.0%, open laparotomy in 18 cases; postoperative complications associated with pulmonary infection in 4 cases, wound infection in 3 cases, after active treatment, All patients have been discharged. Conclusions Lc in patients with acute cholecystitis has the advantages of less trauma, shorter time, less complications and faster postoperative recovery, which reduces the risk of surgery and is safe and feasible.