Objective Population aging in China is becoming a trend.This study aimed to investigate the operative indications,opportunity and skills of laparoscopic cholecystectomy (LC) in elderly patients with acute calculous cholecystitis (ACC),so as to improve the therapeutic effects of LC.Methods The clinical data of 43 elderly patients (over 80 years) with ACC were collected from July 2013 to November 2016 in our hospital.According to whether they had operative indications,the patients were divided into surgical group and non-operative group.The coexisting diseases,laboratory examination,operative opportunity (preoperative time,body temperature,blood leukocyte count and neutrophil percentage,high-sensitivity C reactive protein),operative effect (operative time,intraoperative blood loss,postoperative hospital stay),postoperative complications and therapeutic effects were analyzed.Results The average age of 43 elderly patients with ACC was (83.5±2.7) years old.Seventeen cases underwent surgical treatment,including 13 cases of LC (the maximum age of 88 years old,the success rate of 100%),and 4 cases of open cholecystectomy (OC).Twenty-six cases received non-operative treatment.The therapeutic effects were significantly better in surgical group than in non-operative group (P=0.003).The curative rate was significantly higher in LC group (92.3%) than in OC group (75.0%).The operative opportunity had no significant effect on the therapeutic effects (P>0.05),but had some effect on postoperative complications.Conclusions LC in elderly patients with ACC is safe and feasible.The key is to reasonably determine the operative indications,effectively grasp the operative opportunity,expertly master the skills of LC,and improve the perioperative therapy,so as to further improve its therapeutic effect and safety.
Key words
Elderly patients /
Acute calculous cholecystitis /
Laparoscopic cholecystectomy
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