Journal of Hebei Medical University

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Clinical application of laparoscopic cholecystectomy for elder patients with acute suppurative cholecystitis#br#

  

  1. Department of Hepatobiliary, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China
  • Online:2019-02-25 Published:2019-01-16

Abstract: 〗[Abstract] Objective〖HTSS〗〓To evaluate the feasibility and safety of laparoscopic cholecystectomy(LC) for elder patients(age>60 years) with acute suppurative cholecystitis(ASC).
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓The clinical data of 286 elder patients with acute suppurative cholecystitis were extracted and analyzed.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓Of 285 patients undergoing total laparoscopic surgery, 267 patients received LC and the other 18 patients had cholecystostomy or subtotal cholecystectomy. Conversion occurred in only 1 patient and all 286 patients survived. The mean operative time, intraoperative blood loss, and hospital stay were(84.68±29.18) min, (83.56±43.10) mL, and(9.25±3.07) days, respectively. No jaundice, abdominal pain, fever or other complications occurred during the postoperative 6 months follow up period.
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓LC is safe and feasible for elder patients with ASC and should be performed extensively in clinical practice.

Key words: cholecystitis, acute, cholecystectomy, laparoscope