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日间手术腹腔镜胆囊切除1240例分析

刘博 李成刚 陈继业 刘洋 孟翔飞 董家鸿 黄志强

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日间手术腹腔镜胆囊切除1240例分析

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  • 中图分类号: R657.4

The analysis of 1240 cases of laparoscopic cholecystectomy performed during the day time

  • 摘要: 目的探讨日间手术腹腔镜胆囊切除(LC/DS)的可行性和安全性,评价65岁以上老年患者LC/DS手术的效果。方法回顾性分析2009年11月至2010年12月我院1240例LC/DS临床资料,分析其并发症、延迟出院和再入院原因。比较65岁以下和老年患者LC/DS治疗效果。结果 1240例中1236例LC/DS手术成功,中转开腹4例(0.32%)。共发生6例(0.48%)并发症。延迟出院125例(10.1%),其中49例(39.2%)因心理因素延迟出院,34例(27.2%)因手术后呕吐和腹痛延迟出院。再入院15例(1.2%),8例因胆囊癌再入院。老年患者LC/DS无严重并发症,患者满意度与65岁以下组差异无统计学意义(P>0.05),延迟出院和再入院比例高于65岁以下组(P<0.01)。结论日间手术腹腔镜胆囊切除安全可行,经选择的老年患者同样适合LC/DS医疗模式。心理因素、呕吐和腹痛是导致患者延迟出院的主要原因。

     

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  • 收稿日期:  2011-03-09
  • 出版日期:  2011-09-20
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