摘要
Abstract
Objective To investigate the clinical effect of laparoscopic cholecystectomy(LC) in elderly patients with a-cute calculous cholecystitis.Methods The clinical data of 95 elderly patients with acute non-calculous cholecystitis treated in the Tianfu New District People's Hospital of Chengdu from January 2011 to December 2015 were analyzed retrospectively.The 52 pa-tients who underwent laparoscopic cholecystectomy after admission were selected as the study group,while 43 cases of laparoscopic cholecystectomy performed after conservative treatment for 48h after admission were selected as the control group.The laparoscopic conversions to laparotomy,the amount of bleeding,the time of operation,the postoperative complications,the length of stay and the pathological changes of the gallbladder after operation were compared between the 2 groups.Results The laparotomy rate in the study group was 5.77%,which was lower than 20.93% in the control group,and the difference was statistically significant(P<0.05).The amount of intraoperative bleeding in the study group was 58.709.13ml,which was lower than that of the control group 84.9015.65ml,and the difference was statistically significant(P<0.05).The study group operation time was 64.6411.68min, lower than the control group77.3011.62min,the difference was statistically significant(P<0.05).There were no significant differ-ences in the incidence of postoperative wound bleeding,pulmonary infection and incision infection between the 2 groups(P >0.05).The hospitalization time of the study group was 8.021.25d,which was lower than that of the control group 14.732.54d,and the difference was statistically significant(P<0.05).The pathological changes of the gallbladder in the study group were mainly e-dema and purulent,23.08% and 59.62% respectively,mainly gangrene of 67.44% in thecontrol group,and the difference was sta-tistically significant,P<0.05.Conclusion Elderly AAC is prone to gallbladder gangrene.And with the help of early diagnosis and early implementation of LC,the success rate of surgery is higher with less trauma to the body,which is conducive to the early rehabilitation of elderly patients.关键词
老年/急性非结石性胆囊炎/腹腔镜胆囊切除术Key words
elderly/acute non-calculous cholecystitis/laparoscopic cholecystectomy分类
医药卫生
