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目的探讨老年人急性胆囊炎的腹腔镜治疗特点。方法将我院2001年4月～2006年4月收治的164例LC老年病例分为早期组(85例,急性发作48h内)与延期组(79例,急性发作48h后)进行比较分析。同时,将老年人组(164例)与非老年人组(164例)进行比较分析。结果延期组较早期组LC手术时间和平均住院时间明显延长;老年人组较非老年人组LC手术时间延长,术中出血量及术后并发症明显增多。结论老年急性胆囊炎病人宜早期施行LC。老年女性常因妇科炎症且腹腔内粘连,使LC难度增加,术中、术后并发症的发生率增高。
Objective To investigate the characteristics of laparoscopic treatment of acute cholecystitis in the elderly. Methods A total of 164 cases of LC in our hospital from April 2001 to April 2006 were divided into early stage (85 cases, within 48 hours of acute attack) and delayed stage (79 cases, acute episode after 48 hours). At the same time, the elderly group (164 cases) and the non-elderly group (164 cases) were compared. Results The LC operation time and average length of hospital stay in the deferred group were significantly longer than those in the early group. The LC operation time was longer in the elderly group than in the non-elderly group, and the intraoperative blood loss and postoperative complications were significantly increased. Conclusion elderly patients with acute cholecystitis should be early LC. Elderly women often due to gynecological inflammation and intra-abdominal adhesions, so that increased difficulty LC, intraoperative and postoperative complications increased.