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目的:研究腹腔镜胆囊切除术在老年人急性胆囊炎病人中的应用价值。方法:回顾性分析我院2009年9月~2013年2月开展的42例65岁以上老年急性胆囊炎行腹腔镜胆囊切除术的临床资料。结果:42例65岁以上老年人急性胆囊炎成功的完成了腹腔镜胆囊切除术40例,有2例中转开腹手术。结论:经过精心的术前准备与手术风险评估后,腹腔镜胆囊切除术适宜于老年人急性胆囊炎胆囊切除术,也能取得安全、有效、创伤小、恢复快的优点。
Objective: To study the value of laparoscopic cholecystectomy in elderly patients with acute cholecystitis. Methods: The clinical data of 42 cases of acute cholecystitis aged 65 years and older undergoing laparoscopic cholecystectomy in our hospital from September 2009 to February 2013 were analyzed retrospectively. Results: Forty-two patients with acute cholecystitis over the age of 65 were successfully treated with laparoscopic cholecystectomy. Two cases underwent laparotomy. Conclusion: After careful preoperative preparation and surgical risk assessment, laparoscopic cholecystectomy is suitable for cholecystectomy of acute cholecystitis in the elderly. It can also achieve the advantages of safe, effective, small trauma and rapid recovery.