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高龄患者腹腔镜胆囊切除术并发症的预防

颜海 谭梦志 张跃

中国医药科学Issue(22):199-200,207,3.
中国医药科学Issue(22):199-200,207,3.

高龄患者腹腔镜胆囊切除术并发症的预防

The prevention of complications for elderly patients receiving laparoscopic cholecystectomy

颜海 1谭梦志 1张跃1

作者信息

  • 1. 江苏省徐州市肿瘤医院 江苏省徐州市第三人民医院普外科,江苏徐州221005
  • 折叠

摘要

Abstract

Objective The experience and lessons of patients over 75 years old,who receiving laparoscopic cholecystectomy were studied, and the measures to increase thesuccess rate and prevent complications were investigated. Methods The clinical data of 167 patients with gallstone, who all over 75 years old and receiving laparoscopic cholecystectomy were studied retrospectively, including 93 cases suffering from acutecholecystitis and 3cases suffering from common bile duct stones. Results The success rate of laparoscopic cholecystectomy is 97.6%, and 4 cases transiting to laparotomy. Postoperative complications occurred in 18 cases (10.8%) and 2 cases were dead (1.2%). Conclusion Laparoscopic cholecystectomy is a safe and effective method to treat elderly patients with gallbladder disease. The stress ability is impaired in elderly patients and they are always suffering other medical disease, so the postoperative complication is common. For these reasons we must grasp the timing of surgery, use the surgical techniques flexibly, and strengthen perioperative treatment, in order to prevent complications effectively.

关键词

高龄患者/腹腔镜胆囊切除术/并发症

Key words

Elderly patients/Laparoscopic cholecystectomy/Complications

分类

医药卫生

引用本文复制引用

颜海,谭梦志,张跃..高龄患者腹腔镜胆囊切除术并发症的预防[J].中国医药科学,2013,(22):199-200,207,3.

中国医药科学

2095-0616

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