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目的探讨老年结石性胆囊炎急性发作腹腔镜胆囊切除术(1aparoscopieeholecystectolny,LC)的时机和安全性。方法对2004年9月2009年12月收治的122例老年结石性胆囊炎急性发作患者的LC治疗临床资料进行分析,比较发病3d以内(早期)和3d以上(延期)两组的治疗效果。结果术后患者无严重并发症发生,但延期手术时,平均术后住院日和平均术后下床活动时间均为较长,早期LC全部成功,延期组中转术4例(8.7%)。结论老年结石性胆囊炎急性发作时早期行LC手术治疗是安全的,延期施行LC手术需谨慎。
Objective To investigate the timing and safety of laparoscopic cholecystectomy (LC) in the elderly with acute cholecystitis. Methods The clinical data of LC treatment of 122 elderly patients with acute calcific cholecystitis who were admitted to our hospital in September 2004, December 2009 were analyzed. The therapeutic effects of LC were compared within 3 days (early) and more than 3 days (delayed). Results Postoperative patients had no serious complications, but the average postoperative hospital stay and the average postoperative ambulation time were longer in the delayed operation. All the early LC were successful. Delayed operation was performed in 4 cases (8.7%). Conclusions LC surgery is safe during the early stage of acute episodes of calcific cholecystitis in elderly patients. LC surgery should be performed cautiously.