摘要
Abstract
Objective To evaluate and compare the clinical efficacy of laparoscopic cholecystectomy and open cholecystectomy in the treatment of elderly patients with acute cholecystitis.Methods 100 cases of acute cholecystitis in our hospital from August 2013 to August 2015 were randomly divided into two groups with 50 cases in each group.Laparoscopic group was treated with laparoscopic cholecystectomy,laparotomy group was treated with open cholecystectomy.Compared clinical indicators and postoperative complications.Results The length of incision,blood loss,and operation time in laparoscopic group were significantly lower than those in laparotomy group [(2.19±0.57)cm vs.(8.78±1.87)cm,(58.47±20.14)ml vs.(95.49±34.47)ml,(59.34±13.75)min vs.(78.28±18.67)min],with statistically significant differences (P＜0.01).The intestinal recovery time,stitches time,and hospital stay in laparoscopic group were significantly lower than those in laparotomy group [(3.07±1.11)d vs.(5.87±1.85)d,(7.05±1.35)d vs.(14.35±2.72)d,(7.98±1.46)d vs.(12.76±2.25) d],with statistically significant differences (P＜0.01).The incidence of complications in laparoscopic group was significantly lower than that in laparotomy group (6.0％ vs.30.0％),with statistically significant difference (P＜0.01).Conclusion Laparoscopic cholecystectomy for acute cholecystitis in elderly patients has small trauma surgery,quick recovery,high security,whose overall clinical effect is better than that of open cholecystectomy,with reference.关键词
腹腔镜胆囊切除术/开腹胆囊切除术/急性胆囊炎/并发症Key words
Laparoscopic cholecystectomy/Open cholecystectomy/Acute cholecystitis/Complication
