Clinical effect of early laparoscopic cholecystectomy in the treatment of elderly patients with acute cholecysti-tis
10.3760/cma.j.issn.1008-6706.2014.19.027
- VernacularTitle:腹腔镜胆囊切除术治疗老年人急性胆囊炎疗效观察
- Author:
Haojun ZOU
- Publication Type:Journal Article
- Keywords:
Cholecystitis,acute;
Cholecystectomy,laparoscopic;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;(19):2951-2952
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of early laparoscopic cholecystectomy in the treat -ment of elderly patients with acute cholecystitis .Methods 68 elderly patients with early acute cholecystitis were di-vided into the two groups according to the surgical procedures .33 cases in OC group were given traditional open sur-gery,while 35 cases in LC group received early laparoscopic cholecystectomy .The operative time,postoperative bowel recovery time and postoperative hospital stay time were compared between the two groups .Results The operative time,postoperative bowel recovery time ,postoperative hospital stay time in LC group were (43.7 ±5.8)min,(36.4 ± 3.9)h,(4.8 ±1.4)d,which were significantly shorter than (68.6 ±7.3)min,(65.2 ±4.5)h,(8.3 ±2.9)d in the OC group(t=3.317,3.862,3.029,all P<0.05).The incidence rate of postoperative complication of LC group was 14.29%,which of the OC group was 24.24%,the difference was not significant(P>0.05).Conclusion Early lap-aroscopic cholecystectomy in the treatment of elderly patients with acute cholecystitis can significantly shorten the operation time, promote postoperative recovery of gastrointestinal function and reduce postoperative hospital stay , reduce the burden of patients ,improve the quality of life and the incidence rate of complications is low .
