Clinical Characteristics and Surgical Experience of Elderly Calculous Cholecystitis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 TIANMao-jin , TAIYun-xiang

The Frist Hospital of Liangshan Autonomous Region, Xichang 615000, Sichuan Province, China;

Corresponding?author：

TIANMao-jin, Email: tianmj6788@126.com

Keywords：

Elderly; Calculous cholecystitis; Clinical characteristics; Surgery

DOI：

10.7507/1007-9424.20150219

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the clinical characteristic, operation time, and methods of elderly calculous cholecystitis. Methods The data of 386 cases of elderly calculous cholecystitis in our hospital from January 2008 to April 2014 were retrospectivly analyzed. Results In 386 patients, 234 cases were chronic cholecystitis, 152 cases were acute calculous cholecystitis; there were preoperative complications in 174 cases (45.08%); 234 cases of chronic calculous cholecystitis patients underwent elective operation, 35 cases in 152 cases of acute phase underwent operation at 72 h, the remaining 117 cases underwent operation in within 2 weeks of onset. Laparoscopic cholecystectomy (LC) were in 283 cases, including transfer laparotomy operation in 8 cases; underwent conventional open cholecystectomy in 103 cases. Postoperative complications occurred in 49 cases, the complication rate was 12.69%, including incision infection, pulmonary infection, acute urinary retention, urinary tract infection, biliary fistula and so on. Three hundreds and eighty-four cases were cured, 2 cases died, for cholecystolithiasis complicated with severe acute cholangitis, died from multi organ failure in 3 days after operation. Conclusions The clinical characteristics of elderly calculous cholecystitis is unique. To strictly grasp the operation indication, selection of operation time, take individual operation method with the disease, and strengthen treatment of perioperative period are the key to improve the cure rate and the operation success rate of elderly cholecystitis.

Citation： TIANMao-jin, TAIYun-xiang. Clinical Characteristics and Surgical Experience of Elderly Calculous Cholecystitis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(7): 848-851. doi: 10.7507/1007-9424.20150219 Copy

1.	?劉潯陽. 老年人危、急重癥急性膽囊炎通向擇期手術的橋梁-超聲引導下經皮膽囊置管造瘺術. 中國普通外科雜志, 2002, 11(2):65-67.
2.	李坤平, 林帆, 古維立, 等. 老年肥胖膽囊炎患者的臨床特點及診治經驗. 中國現代手術學雜志, 2011, 15(4):256-258.
3.	黎沾良, 張同琳, 徐智, 等. 頭孢哌酮/舒巴坦治療膽道感染的前瞻性、多中心臨床研究. 中華醫院感染學雜志, 2008, 18(4):552-555.
4.	王雨, 戴睿武, 閻勇, 等. 老年患者急性結石性膽囊炎的臨床特點及相關處理對策的研究(附126例報道). 華西醫學, 2008, 23(4):719-720.
5.	馬其彬. 老年膽石性膽囊炎60例臨床特征及外科診治分析. 中國誤診學雜志, 2009, 9(18):4453.
6.	吳孟超, 吳在德. 黃家駟外科學. 7版. 北京:人民衛生出版社,2008:1790-1802.
7.	Yoo HK, Serafin BL. Perioperative management of the diabetic patient. Oral Maxillofacial Surg Clin North Am, 2006, 18(2):255-260.
8.	陳大煉, 張瑋. 老年人結石性膽囊炎205例治療體會. 貴陽醫學院學報, 2012, 37(4):403-404.
9.	中華醫學會外科學分會膽道外科學組. 急性膽道系統感染的診斷和治療指南(2011版). 中華消化外科雜志, 2011, 10(1):9-13.
10.	楊野, 劉宇, 郭仁宣,等. 老年急性膽囊炎外科治療時機和方式選擇. 中國實用外科雜志, 2008, 28(5):376-377.
11.	費連心, 張云, 蔣超, 等. 高齡急性重癥膽管炎患者的手術策略. 中國現代普通外科進展, 2013, 16(12):973-975.
12.	黎介壽. 腹部損傷控制性手術. 中國實用外科雜志, 2006,26(8):561-562.
13.	Pessaux P, Regenet N, Tuech JJ, et al. Laparoscopic versus open cholecystectomy:a prospective comparative study in the elderly with acute cholecystitis. Surg Laparosc Endosc Percutan Tech, 2001, 11(4):252-255.
14.	郭定炯, 龔迪和, 洪德飛. 腹腔鏡膽囊切除術在急性膽囊炎中的應用. 中國微創外科雜志, 2005, 5(4):288-289.
15.	Lee SS, Park do H, Hwang CY, et al. EUS-guided transmural cholecystomy as rescue management for acute cholecystitis in elderly or high-risk patients:a prospective feasibility study. Gastrointest Endosc, 2007, 66(5):1008-1012.
16.	付由池. 殘留膽囊的診斷與治療. 中國普外基礎與臨床雜志,2010, 17(4):311-313.
17.	朱愛軍, 石景森. 膽囊切除術后綜合征的再認識. 中國普外基礎與臨床雜志, 2010, 17(4):314-316.
18.	石景森. 進一步提高膽囊切除術后殘留病變的防治. 中國普外基礎與臨床雜志, 2010, 17(4):309-310.
19.	夏明, 鄢利華. 腹腔鏡膽囊次全切除術83例報道. 中國普外基礎與臨床雜志, 2011, 18(3):317-319.
20.	劉蕓, 張海生. 老年外科急腹癥圍手術期風險與對策. 浙江創傷外科, 2012, 17(1):47-49.

1. ?劉潯陽. 老年人危、急重癥急性膽囊炎通向擇期手術的橋梁-超聲引導下經皮膽囊置管造瘺術. 中國普通外科雜志, 2002, 11(2):65-67.
2. 李坤平, 林帆, 古維立, 等. 老年肥胖膽囊炎患者的臨床特點及診治經驗. 中國現代手術學雜志, 2011, 15(4):256-258.
3. 黎沾良, 張同琳, 徐智, 等. 頭孢哌酮/舒巴坦治療膽道感染的前瞻性、多中心臨床研究. 中華醫院感染學雜志, 2008, 18(4):552-555.
4. 王雨, 戴睿武, 閻勇, 等. 老年患者急性結石性膽囊炎的臨床特點及相關處理對策的研究(附126例報道). 華西醫學, 2008, 23(4):719-720.
5. 馬其彬. 老年膽石性膽囊炎60例臨床特征及外科診治分析. 中國誤診學雜志, 2009, 9(18):4453.
6. 吳孟超, 吳在德. 黃家駟外科學. 7版. 北京:人民衛生出版社,2008:1790-1802.
7. Yoo HK, Serafin BL. Perioperative management of the diabetic patient. Oral Maxillofacial Surg Clin North Am, 2006, 18(2):255-260.
8. 陳大煉, 張瑋. 老年人結石性膽囊炎205例治療體會. 貴陽醫學院學報, 2012, 37(4):403-404.
9. 中華醫學會外科學分會膽道外科學組. 急性膽道系統感染的診斷和治療指南(2011版). 中華消化外科雜志, 2011, 10(1):9-13.
10. 楊野, 劉宇, 郭仁宣,等. 老年急性膽囊炎外科治療時機和方式選擇. 中國實用外科雜志, 2008, 28(5):376-377.
11. 費連心, 張云, 蔣超, 等. 高齡急性重癥膽管炎患者的手術策略. 中國現代普通外科進展, 2013, 16(12):973-975.
12. 黎介壽. 腹部損傷控制性手術. 中國實用外科雜志, 2006,26(8):561-562.
13. Pessaux P, Regenet N, Tuech JJ, et al. Laparoscopic versus open cholecystectomy:a prospective comparative study in the elderly with acute cholecystitis. Surg Laparosc Endosc Percutan Tech, 2001, 11(4):252-255.
14. 郭定炯, 龔迪和, 洪德飛. 腹腔鏡膽囊切除術在急性膽囊炎中的應用. 中國微創外科雜志, 2005, 5(4):288-289.
15. Lee SS, Park do H, Hwang CY, et al. EUS-guided transmural cholecystomy as rescue management for acute cholecystitis in elderly or high-risk patients:a prospective feasibility study. Gastrointest Endosc, 2007, 66(5):1008-1012.
16. 付由池. 殘留膽囊的診斷與治療. 中國普外基礎與臨床雜志,2010, 17(4):311-313.
17. 朱愛軍, 石景森. 膽囊切除術后綜合征的再認識. 中國普外基礎與臨床雜志, 2010, 17(4):314-316.
18. 石景森. 進一步提高膽囊切除術后殘留病變的防治. 中國普外基礎與臨床雜志, 2010, 17(4):309-310.
19. 夏明, 鄢利華. 腹腔鏡膽囊次全切除術83例報道. 中國普外基礎與臨床雜志, 2011, 18(3):317-319.
20. 劉蕓, 張海生. 老年外科急腹癥圍手術期風險與對策. 浙江創傷外科, 2012, 17(1):47-49.

Previous Article
Applied Research of Short Form-36 Health Survey Scale for Evaluation of Quality of Life in Patient with Breast Cancer
Next Article
脾臟假性囊腫1例報道

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Characteristics and Surgical Experience of Elderly Calculous Cholecystitis

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content