Comparison between laparoscopic cholecystectomy and open cholecystectomy for elderly patients with ;acute cholecystitis
10.3969/j.issn.1006-5725.2015.06.021
- VernacularTitle:腹腔镜胆囊切除术与开腹胆囊切除术治疗老年急性胆囊炎的疗效比较
- Author:
Xue MA
;
Zhansheng HU
- Publication Type:Journal Article
- Keywords:
Acute cholecystitis;
Laparoscopic cholecystectomy;
Open cholecystectomy;
Aged
- From:
The Journal of Practical Medicine
2015;(6):931-932,933
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effects of different surgical methods for the recovery of elderly patients with acute cholecystitis and provide reference for its clinical treatment. Methods 60 Patients aged 65 years or older undergoing laparoscopic cholecystectomy for acute cholecystitis between January 2010 and December 2013 were selected from the database. The comparison group comprised 76 patients from the same age-group who underwent open cholecystectomy for acute cholecystitis. Then the curative effects of two groups were compared and analyzed. Results 76 patients underwent laparoscopic surgery and 60 had open surgery. The demographic data and co-morbidities were compared between the two groups. The postoperative hospital stay was significantly shorter for patients undergoing laparoscopy (P < 0.05). The overall complication rate was significantly lower for patients undergoing laparoscopy (P < 0.05). There was no statistical significant difference in the operating time and the bleeding among the operation. Conclusions Laparoscopic cholecystectomy is a safe procedure for acute cholecystitis in elderly patients , resulting in fewer complications and shorter hospital stay than open cholecystectomy. Laparoscopic cholecystectomy is worth in the clinical application.
