[1]敏志刚,马英俊.高原地区老年患者腹腔镜与开腹胆囊切除术心肺并发症的临床比较[J].中国微创外科杂志,2007,07(8):721-722.
　Min Zhigang,Ma Yingjun..Laparoscopic versus Open Cholecystectomy in Aged Patients in Plateau Region: A Clinical Comparison of Cardiopulmonary Complications[J].Chinese Journal of Minimally Invasive Surgery,2007,07(8):721-722.
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高原地区老年患者腹腔镜与开腹胆囊切除术心肺并发症的临床比较()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
07
期数:
2007年8期
页码:
721-722
栏目:
出版日期:
2007-08-20

文章信息/Info

Title:
Laparoscopic versus Open Cholecystectomy in Aged Patients in Plateau Region: A Clinical Comparison of Cardiopulmonary Complications
作者:
敏志刚; 马英俊
甘肃省甘南藏族自治州人民医院普外科，合作747000
Author(s):
Min Zhigang;  Ma Yingjun.
Department of General Surgery, People’s Hospital of Gannan Tibetan Autonomous Prefecture, Gansu 747000, China
关键词:
腹腔镜; 高原地区; 并发症
Keywords:
Laparoscopy; Plateau region; Complication
分类号:
R657.406
文献标志码:
A
摘要:
目的评价高原地区老年患者行腹腔镜胆囊切除术的安全性。方法2005年1月~2006年6月，长期居住于本地区的64例老年胆囊疾病患者，分别接受开腹胆囊切除术（open cholecystectomy，OC）32例和腹腔镜胆囊切除术（laparoscopic cholecystectomy，LC）32例，对手术后出现的心肺并发症进行统计。结果LC组急性肺水肿1例，慢性右心衰竭1例，肺部感染1例；OC组左心衰竭肺水肿3例，右心衰竭2例，肺部感染5例。LC组心肺并发症发生率明显低于OC组（9% vs 31%，χ2=4.730，P=0.030）。结论在高海拔、低气压和低氧分压环境下，老年患者LC并发症少，相对安全。
Abstract:
ObjectiveTo evaluate the safety of laparoscopic cholecystectomy’s in aged patients in plateau region. MethodFrom January 2005 to June 2006, a total of 64 local aged gallbladder disease patients were included, in which 32 cases received open cholecystectomy (OC) and 32 cases received laparoscopic cholecystectomy (LC). Postoperative cardiopulmonary complications were compared. ResultsIn the LC group, 1 case of acute pneumonedema, 1 case of chronic right heart failure and 1 case of pulmonary infection occurred; and 3 cases of left heart failure accompanied with pneumonedema, 2 cases of right heart failure and 5 cases of pulmonary infection occurred in the OC group. The incidence of cardiopulmonary complications of the LC group was significantly lower than that of the OC group (9% vs 31%,χ2＝4.730, P=0.030). ConclusionsIn the circumstances of high altitude, low atmospheric pressure and low oxygen partial pressure, LC is safer than OC for aged patients in regard to postoperative complications.

参考文献/References:

[1]邵天松，伍冀湘，梁杰雄.老年人腹腔镜胆囊切除术118例报告.中国微创外科杂志，2006，6(3)：201-203.
[2]朱火明，白春林，胡海松，等.腹腔镜与传统胆囊切除各300例临床对比分析.青海医药杂志，2001，11：10-11.
[3]黄玉斌，卢榜裕.老年患者腹腔镜胆囊切除术围手术期的反应.中国老年学杂志，2006，26(8):1058-1060.
[4]郭贵军，翟瑜，杜权，等.老年患者腹腔镜切除术与开腹胆囊切除比较.中国微创外科杂志，2005，5：641-643.
[5]范秋维，姬梅，陈蕾，等.老年人经腹腔镜和剖腹胆囊切除术对围术期肺功能的比较.中华老年医学杂志，2000，19（1）：32-35.
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更新日期/Last Update: 2013-12-09