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论著:腹腔镜下与开腹胆囊切除术治疗老年人胆囊疾病的疗效比较
Comparison of Laparoscopic and Open Cholecystectomy in Elderly Patients with Gallbladder Diseases
姚鑫
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作者单位:江苏省张家港市中医医院普外科
中文关键字:胆囊切除术;腹腔镜;老年
英文关键字:Cholecystectomy; Laparoscopy; Elderly
中文摘要:目的:比较采用腹腔镜下胆囊切除术(laparoscopic cholecystectomy,LC)和开腹胆囊切除术(open cholecystectomy,OC)治疗老年人胆囊疾病的有效性和安全性。方法:回顾性分析接受手术治疗的158例老年胆囊疾病患者的临床资料,其中LC组87例,OC组71例。比较两组患者术中、术后各项指标及并发症发生情况。结果:LC组成功率为92.0%(80/87),7例患者中转开腹。LC组和OC组患者术后恢复良好,并发症发生率分别为1.1%(1/87)和2.8%(2/71),两组比较无统计学差异(P>0.05)。LC组手术时间和住院时间分别为(64±11)min和(3.7±2.1)d,均显著低于OC组的(74±15)min(P<0.05)和(6.2±3.2)d(P<0.05)。结论:老年人胆囊疾病行LC,与OC相比可以进一步缩短手术时间和住院时间,故LC可作为OC的替代术式。
英文摘要:Objective: To compare the efficacy and safety of laparoscopic cholecystectomy (LC) and open cholecystectomy (OC) in the treatment of gallbladder diseases in elderly patients. Methods:The clinical data of 158 elderly patients admitted with gallbladder diseases have been retrospectively studied. Among them, 87 cases underwent LC and 71 underwent OC. The perioperative parameters and postoperative complications were statistically compared between the 2 groups. Results: The success rate of LC group was 92.0% (80/87), and 7 patients were converted to laparotomy. All patients in OC group and LC group recovered after surgery, and the complication rates were similar between the 2 groups (2.8% vs. 1.1%, P>0.05). Both operative time and hospital stay in LC group were significantly shorter than those in OC group [(64 ± 11) min vs. (74 ± 15) min, P<0.05; and (3.7 ± 2.1) d vs. (6.2 ± 3.2) d, P<0.05; respectively)]. Conclusions: LC have shorter operative time and hospital stay than OC in the treatment of elderly patients with gallbladder diseases.
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