摘要
目的探讨对高龄病人腹腔镜胆囊切除术(LC)如何规避风险和术中困难情况的处理.方法对我院2001年12月～2004年1月实施1 000例LC中200例60岁以上病人临床资料进行回顾性分析. 结果 200例中86例(43%)并存内科疾病,191例(95.5%)LC成功、有55例(27.5%)手术过程困难,其中9例中转、1例胆道损伤.结论高龄病人LC风险和困难明显增加,全面认真的分析病情、准确仔细的手术操作,是病人医疗安全的关键.
Objective To explore the treatment risks and difficulty states of LC in the aged patients.Methods We analyzed retrospectively clinical data of the 200 cases aged group out of 1000 cases of LC from December 2001 to January 2004 in our hospital.Results One hundred and ninety-one cases (95.5%) of LC or LCBDE succeed .Fifty-five cases (27.5%) were very difficult during the operation , 9 cases were conversed to open cholecystectomy , and 1 cases common bile duct damage.Eighty-six cases (43%) presented the comorbidities of internal medicine in 200 cases.Conclusion The risk and the difficulty in LC were increasd greatly in aged group .Analysing the patients conditions seriously and completly,operativing accurately and carefully was the key point of medical safe to the aged patients.
出处
《重庆医学》
CAS
CSCD
2005年第2期267-268,共2页
Chongqing medicine
关键词
腹腔镜胆囊切除术
老年人
手术风险暨困难
laparoscopic cholecystectomy
the aged
the risk and the difficulty in LC
