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腹腔镜胆囊切除术在高龄腹部手术后患者中的应用

Clinical Application of Laparoscopic Cholecystectomy in Elderly Patients after Abdominal Surgery
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摘要 [目的]探讨高龄(≥70岁)腹部手术后患者行腹腔镜胆囊切除术(LC)的可行性.[方法]回顾性分析31例高龄腹部手术史患者行LC病例资料,避开原有切口选择四戳孔法和三戳孔法,必要时采用开放法置入穿刺鞘,注重腹腔内粘连区的分离技巧.[结果]本组31例,其中28例成功完成手术,中转开腹3例,无手术并发症.[结论]严格注意适应证,具备熟练的操作技能,有腹部手术史的高龄患者行LC仍是安全可行的. [Objective] To explore the feasibility of laparoscopic cholecystectomy(LC) in elderly patients (≥70 years old) after abdominal surgery. [Methods] The clinical data of 31 elderly patients with the history of abdominal surgery undergoing LC were analyzed retrospectively. The fourth trocar and three-trocar technique avoiding original incision were chosen. If necessary, opening method was used to insert the trocar. The adhesive tissue was separated skillfully. [Results]Of the 31 cases, 28 cases were operated successfully with laparoscopic cholecystectomy, and 3 cases changed to laparotomy. All the patients recovered without any complications. [Conclusion] With the perfect skill in operation and assurance of indication, laparoscopic cholecystectomy is safe and efficient in elderly patients after abdominal surgery.
出处 《医学临床研究》 CAS 2010年第11期2073-2074,共2页 Journal of Clinical Research
关键词 腹部/外科学 胆囊切除术 腹腔镜 abdomen/SU cholecystectomy,laparoscopic
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