Application of laparo scopy in gastrointestinal abdominal emergency operation for patients over 65 years old
10.3760/cma.j.issn.1671-0274.2015.08.021
- VernacularTitle:腹腔镜在65岁以上胃肠外科急腹症患者手术中的应用
- Author:
Qingpeng ZHANG
1
,
2
;
Bo WEI
;
Lin CHEN
Author Information
1. 100853北京，解放军总医院普通外科
2. 解放军316医院普通外科
- Keywords:
Acute abdomen;
Elderly;
Laparoscopy;
Laparotomy
- From:
Chinese Journal of Gastrointestinal Surgery
2015;(8):797-800
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical application of laparoscopy in gastrointestinal abdominal emergency operation for patients over 65 years old. Methods Clinical data of 138 cases (age > 65 years) with acute abdomen undergoing laparoscopic surgery from January 2006 to June 2014 were analyzed retrospectively. Data of 170 cases treated by laparotomy during the same period were enrolled as controls. Results The laparoscopy group and the laparotomy group showed statistically significant differences in blood loss [(107.1±47.7) ml vs. (163.6±106.5) ml, P=0.000], postoperative complications rate [2.9%(4/138) vs. 12.9%(22/170), P=0.022], hospital stay [(10.5 ±7.5) d vs. (16.5±9.9) d, P=0.044], postoperative ambulation time[(25.6±7.7) h vs. (33.2±5.6) h, P=0.020], and recovery time of postoperative gastrointestinal function [(36.9±9.1) h vs. (49.3±10.6) h, P=0.031]. Patients with acute appendicitis, upper digestive tract perforation and bowel obstruction in the laparoscopy group were superior to those in the laparotomy group in hospital stay, postoperative ambulation time, recovery time of postoperative gastrointestinal function and intraoperative blood loss (all P<0.01), while no significant differences in colon perforation and mesentery diseases were found in hospital stay, intraoperative blood loss and recovery time of postoperative gastrointestinal function between the two groups (all P>0.05). Conclusions Compared with laparotomy, the laparoscopy offers the advantages of less trauma, faster recovery, shorter hospital stay, and lower postoperative complications rate for patients over 65 years with acute abdomen.
