摘要
目的探讨腹腔镜手术在80岁以上超高龄胆囊结石合并胆总管结石患者中的临床应用价值。方法自2007年9月至2010年9月对62例80岁以上胆囊结石合并胆总管结石的患者行腹腔镜胆囊切除并胆总管探查及T管引流术,分析其手术时间、术中失血量、术后排气时间、术后腹引管拔除时间、术后疼痛缓解时间、术后住院天数、术后并发症发生率、结石残留率等指标。结果 62例手术均获成功,无中转开腹,无死亡病例,平均手术时间(70.0±15.8)min,平均术中出血量(20.0±10.7)ml,平均术后住院时间(8.0±1.0)d。术后肺部感染4例,胆瘘3例,应激性溃疡2例,切口感染3例,结石残留6例。结论积极、合理的围手术期处理,腹腔镜胆囊切除并胆总管探查及T管引流术对于80岁以上胆囊结石合并胆总管结石的超高龄患者是安全、有效、可行的手术方式。
Objective To research the clinical significance of laparoscopic operation in treatment of 80 years and older patients with cholelithiasis and choledocholithiasis.Methods Sixty-two cases of 80 years and older patients with cholelithiasis and choledocholithiasis were performed laparoscopic cholecystectomy and common bile duct exploration and T-tube drainage from September 2007 to September 2010,clinical data including operation time,intraoperative blood loss,postoperative recovery of gastrointestinal function time and removal of abdominal drainge tube,postoperative pain relief time and hospitalization,post-operative complications and rate of residual stone were obtained.Results The operation was performed on 62 cases successfully,average operation time（70.0 ± 15.8）min,average intra-operative blood loss（20.0 ± 10.7）ml,average post-operative hospitalization（8.0 ± 1.0） days,complications include lung infection 4 cases,pylethrombosis 3 cases,stress ulcers 2 cases,incision infection 3 cases,stone residue 6 cases.Conclusions Positive,rational perioperative management,laparoscopic cholecystectomy and common bile duct exploration and T-tube drainage for 80 years and older patients is safe,effective and feasible surgical approach.
出处
《中华腔镜外科杂志（电子版）》
2012年第2期11-14,共4页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
关键词
超高龄患者
腹腔镜
胆囊结石
胆总管结石
Older patients
Laparoscopy
Cholelithiasis
Choledocholithiasis
