老年患者腹腔镜胆囊切除术

作者： Yetkin，Gurkan 1乌鲁达，穆罕默德，大羽，SIBEL 2比伦特·Citgez，1 Paksoy，INCI 2
来源： JSLS，Laparoendoscopic外科医生，第13卷，第4号，十月学会杂志“ - 2009年12月第587-591页（5）
发布者：Laparoendoscopic外科医生协会

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摘要：
背景与目的：在这项研究中，我们调查的微创手术，腹腔镜胆囊切除术，是否有利于中老年患者。
方法：从595例接受腹腔镜胆囊切除术2003年1月至2007年12月的数据，前瞻性地收集在数据库中。患者被分为2组患者> 70岁年龄组（A组），患者年龄<70岁组（B组）。A组又分为3个亚类，70至74岁，75至79，80及以上。组间比较采用Mann-Whitney U和卡方检验（如适用）。
结果： ASA分数增加联同年龄的增加（P <0.001）。手术时间超过一小时，26例患者年龄在70岁以上的老年人，患者和152例69岁或以下的患者无显着差异，二氧化碳分压和pH值的测量（P> 0.05）。在80岁以上的患者，急性胆囊炎，中转开腹手术及术后并发症率显着高于其他各组（P> 0.05）。
结论：我们认为，在老年患者中，腹腔镜手术可安全地应用于没有进一步增加了手术的风险。通过仔细选择的患者年龄在80岁或以上，并具有较高的技术能力，对此类患者的经验丰富的团队，可以减少并发症。

Laparoscopic Cholecystectomy in Elderly Patients
Authors: Yetkin, Gurkan1; Uludag, Mehmet1; Oba, Sibel2; Citgez, Bulent1; Paksoy, Inci2
Source: JSLS, Journal of the Society of Laparoendoscopic Surgeons, Volume 13, Number 4, October - December 2009 , pp. 587-591(5)
Publisher: Society of Laparoendoscopic Surgeons

Abstract:
Background and Objective: In this study, we investigated whether laparoscopic cholecystectomy, a minimally invasive procedure, is advantageous in elderly patients.
Methods: Data from 595 patients who underwent laparoscopic cholecystectomy between January 2003 and December 2007 were prospectively collected in a database. The patients were separated into 2 groups; patients >70 years of age (group A), and patients <70 years of age (group B). Group A was further divided into 3 subgroups, ages 70 to 74, 75 to 79, and 80 and above. Comparison between the groups was made with Mann-Whitney U and chi-square tests where appropriate.
Results: ASA scores increased in conjunction with increased age (P<0.001). Of patients with an operative time longer than one hour, 26 patients aged 70 or older, and 152 patients aged 69 or younger had no difference with respect to PaCO2 and pH measurements (P>0.05). In patients aged 80 or older, the rates of acute cholecystitis, conversion to open surgery, and postoperative complications were significantly higher than in other groups (P>0.05).
Conclusion: We believe that in elderly patients, laparoscopic surgery can be applied safely without further increasing the surgical risks. The complications can be minimized by carefully selecting the patients aged 80 or older and by experienced teams with high technical capabilities operating on such patients.