摘要
Abstract
Objective:To compare the effects of performing laparoscopic cholecystectomy at two different timings for the treatment of acute cholecystitis in the elderly.Method:A total of 92 elderly patients with acute cholecystitis admitted to Huangmei County Second People's Hospital from January 2024 to January 2025 were randomly divided into Group A and Group B,with 46 cases in each group.Both groups underwent laparoscopic cholecystectomy,with Group A undergoing early surgery(within 48 hours of onset)and Group B undergoing elective surgery(first receiving conservative treatment and then surgery after 48 hours of onset).Surgical-related indicators,postoperative recovery indicators,postoperative complications,and patient surgical evaluations were compared between the groups.Result:The operation time of Group A was shorter than that of Group B,and the intraoperative blood loss was less than that of Group B,with statistically significant differences(P＜0.05).There was no statistically significant difference in the rate of conversion to open surgery between Group A and Group B(P＞0.05).The time to first flatus after surgery,the duration of abdominal drainage after surgery,the time to first feeding after surgery,and the length of hospital stay were all shorter in Group A compared to Group B.The postoperative complication rate in Group A was lower than Group B.The excellent rate of surgical evaluation in Group A was higher than Group B,the above differences were statistically significant(P＜0.05).Conclusion:For elderly patients with acute cholecystitis,performing laparoscopic cholecystectomy early can shorten surgical time,reduce intraoperative bleeding,promote postoperative recovery,lower the risk of complications,and increase patient satisfaction.关键词
急性胆囊炎/老年/胆囊切除术/手术时机/胆囊穿刺引流/并发症Key words
Acute cholecystitis/Elderly/Cholecystectomy/Timing of surgery/Gallbladder puncture drainage/Complications
