老年人腹腔镜胆囊切除术1360例临床分析
JOURNAL OF MILITARY SURGEON IN SOUTHWEST CHINA（2004）
Abstract
目的以最少的创伤和并发症达到甚至优于传统胆囊切除方法治疗老年人的良性胆囊病变.方法应用现代腹腔镜外科技术"四孔"或"三孔"法行胆囊切除1360例,其中择期手术1230例,急诊手术84例,中转开腹手术48例.结果腹腔镜胆囊切除1314例(96.6%),术中因胆囊及周围炎症重、粘连中转40例,可疑胆囊癌中转6例(病理确诊3例).严重并发症,其中胆囊损伤6例,胆瘘2例,术后出血2例,肝下间隙感染3例,死亡2例(心脏病突发).一般性并发症17例.结论患胆囊良性病变的老年人有手术适应征,腹腔镜胆囊切除应是首选方法.近远期疗效明显优于剖腹手术.
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