Abstract: 【Abstract】〓Objective〓To compare the effects between laparoscopic cholecystectomy (LC) and open cholecystectomy (OC) for acute cholecystitis in elderly patients. Methods〓From January 2007 to December 2012,76 cases over 70 years old with acute cholecystitis were included in this study. Among them, 34 underwent LC (LC group) and 42 underwent OC (OC group). The operating time, blood loss, postoperative hospital stay and complications were analyzed between two groups. Results〓All operations were completed successfully without conversion to open surgery in LC patients. Operating time in LC group was 95.2±19.7 min and 86.8±21.2 min in OC group. There were two patients in LC group with blood loss more than 500 mL and eight patient in OC group(P<0.05). Mean postoperative hospital stay in LC group was significantly shorter than that in OC group (P<0.01). There were 24 cases of postoperative complications (31.6%), the complications in LC group was also less than that in OC groupa(P<0.05). Conclusion〓Laparoscopic cholecystectomy could shorten postoperated hospital stay and reduce complications.

Key words: Acute cholecystitis, Elderly, Laparoscopic cholecystectomy

摘要： 【摘要】〓目的〓比较腹腔镜胆囊切除术(LC)与开腹式胆囊切除术(OC)治疗老年患者急性胆囊炎的安全性和有效性。方法〓选择从2007年1月至2012年12月收治的年龄超过70岁急性胆囊炎患者76例,分别采用LC(34例)与OC(42例)治疗。观察两组的手术时间、术中失血、术后住院时间和术后并发症。结果〓两组患者手术均顺利完成胆囊切除术,且LC组无中转开腹的病例。LC组的手术时间为95.2±19.7 min,OC组的手术时间为86.8±21.2 min,两者差异无统计学意义;LC组术中失血>500 mL的有2例(5.9%),OC组术中失血>500 mL的有8例(19.0%)(P<0.05);LC组的术后住院时间明显少于OC组(P<0.01)。总共有24例患者在术后出现了并发症(31.6%),其中LC组的术后并发症明显少于OC组(P<0.05)。结论〓急性胆囊炎老年患者行腹腔镜胆囊切除术治疗能缩短术后住院时间和减少术后并发症发生率。

关键词: 急性胆囊炎, 老年, 腹腔镜胆囊切除术