Operation opportunity of laparoscopic cholecystectomy for senile patients with acute cholecystitis combined with underlying disease
10.3760/cma.j.issn.1008-6706.2015.24.014
- VernacularTitle:老年急性胆囊炎合并基础疾病患者行腹腔镜胆囊切除术的手术时机探讨
- Author:
Qiang SHAN
;
Juanying HU
;
Minghui XU
;
Shaomin LIAO
;
Hu WANG
;
Wei SHEN
- Publication Type:Journal Article
- Keywords:
Cholecystitis,acute;
Cholecystectomy,laparoscopic;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(24):3723-3725
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the operation opportunity of cholecystectomy for senile patients with acute cholecystitis combined with underlying disease.Methods 82 elderly patients with acute cholecystitis complicated with underlying diseases underwent cholecystectomy were selected,they were divided into two groups according to the different operation time:the early operation group and the delayed operation group,41 cases in each group.The patients in early operation group were given operation in 72h,while the delayed operation group was given operation more than 72h after attack.The operation time,intraoperative blood loss,intraoperative tissue adhesions,intraoperative exudation,hospitalization time,cost of hospitalization and complications of the two groups were observed and com-pared.Results The operation time of the two groups were (45.32 ±1 2.23)min,(50.89 ±1 3.34)min,there was no significant difference (P >0.05),the intraoperative tissue adhesions of the delayed operation group was more than the early operation group,and the intraoperative hemorrhage and exudation in the early operation group were significantly higher than those of the delayed operation group (P <0.05),and the hospital stay and cost of hospitalization were sig-nificantly lower than those of the delayed operation group (P <0.05).1 case in the early operation group occurred pulmonary infection,3 cases with incision infection,the incidence of complications was 9.76%;1 case in the delayed operation group underwent laparotomy operation,2 cases in the delayed operation group had pulmonary infection,inci-sion infection in 4 cases,the incidence rate of complication was 1 4.63%,there was no significant difference between the two groups (P >0.05).Conclusion The optimal operation timing of acute cholecystitis combined with basic dis-eases in the elderly patients underwent cholecystectomy is within 72h.For patients who can not be immediately given operation due to various reasons,delayed cholecystectomy is safe and feasible.
