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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:

21卷

期数:

2015年04期

页码:

311-314

栏目:

临床医学

出版日期:

2015-07-15

文章信息/Info

Title:

Laparoscopic cholecystectomy versus open cholecystectomy in elderly patients with acute cholecystitis

 

文章编号:

1006-8147（2015）04-0311-04

作者:

李衍训 ;  孙晋津 ;  刘 庚 ;  蒋智佳 ;  王凯强 ;  张林强

(天津医科大学第二医院肝胆胰外科,天津 300211)

Author(s):

LI Yan-xun; SUN Jin-jin; LIU Geng; JIANG Zhi-jia;  WANG Kai-qiang; ZHANG Lin-qiang

( Department of Hepatopancreatobiliary Surgery, The Second Hospital ，Tianjin Medical University, Tianjin 300211，China)

关键词:

腹腔镜胆囊切除术; 开腹胆囊切除术; 急性胆囊炎; 老年人

Keywords:

laparoscopic cholecystectomy;  open cholecystectomy;  acute cholecystitis;  elderly

分类号:

R657.4+1

DOI:

-

文献标志码:

A

摘要:

目的：对比腹腔镜和开腹手术治疗急性胆囊炎老年患者的临床疗效及安全性。 方法：回顾性分析手术治疗的高龄（>70岁）急性胆囊炎患者63例，其中腹腔镜治疗组32例，开腹手术31例，比较两组患者手术时间、术中出血量、肠道功能恢复时间、并发症、抗生素使用时间、术后住院时间的相关情况。 结果： 腹腔镜组的手术时间、抗生素使用时间、术后住院时间均短于开腹手术组，腹腔镜组的术中出血量更少，手术切口更小，肠道功能恢复更快，并发症发生率亦较低，差异均有统计学意义（p < 0.05）。结论：与开腹手术相比，腹腔镜胆囊切除术在治疗急性胆囊炎高龄患者的临床疗效及安全性方面具有明显的优势。

Abstract:

 Objective: To study the safety and effect of laparoscopic cholecystectomy(LC) for acute cholecystitis in elderly patients by comparing the results with open cholecystectomy(OC). Methods: Retrospective analysis of the surgical treatments in the acute cholecystitis patients(>70 years), including 32 cases of laparoscopic cholecystectomy and 31cases of open cholecystectomy were carried out. Two groups were compared in operation time, intra-operation blood loss, intestinal function recovery time, complications, antibiotic usage time and postoperative hospital stay. Results: Operation time, antibiotic usage time, postoperative hospital stay of LC group were shorter than OC group; lower blood loss, smaller incision, lower incidence of complications and fast recovery of intestinal function were found in LC group, with significant difference (P<0.05). Conclusion: Laparoscopic cholecystectomy may have better clinical effect and greater safety in the treatment of elder patients with acute cholecystitis, With fewer complications and shorter hospital stay as compared to open cholecystectomy.

参考文献/References:

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相似文献/References:

备注/Memo

备注/Memo:

作者简介 李衍训 （1988-）， 男， 硕士在读，研究方向： 肝胆胰腺疾病的基础及临床研究；通信作者： 孙晋津 ，E-mail: tjmu2535@163.com。

 

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更新日期/Last Update: 2015-07-16