Objective To discuss the clinical efficacy of laparoscopic cholecystectomy (LC) and open cholecystectomy (OC) in the treatment of acute cholecystitis in aged. Methods 106 cases of elderly patients with acute cholecystitis were randomly divided into two groups,53 cases in the observation group were treated by the LC surgery,and 53 cases in the control group were treated by the OC surgery. Results The patients incision length,blood loss,home drainage cases,operative time,bowel sounds recovery time,painkillers number of patients using the time to get out of bed after surgery,hospital stay in the observation group were all lower than the control group,two groups of phase difference were statistically significant (P<0.05),complications cases,the control group of 6 patients accounted for 11.32%(6/53),the two groups and the difference was statistically significant (P<0.05). Conclusion LC treatment of acute cholecystitis in aged with less trauma, pain, abdominal adhesions, shorter operative time,less blood loss,a clear operative field,cut beautiful,early ambulation,quicker recovery,fewer complications,etc.%目的探讨腹腔镜胆囊切除术（LC）与开腹胆囊切除术（OC）治疗高龄急性胆囊炎的临床疗效。方法将106例高龄急性胆囊炎患者随机分为两组，观察组53例行LC手术，对照组53例行OC手术。结果观察组患者切口长度、术中出血量、置引流例数、手术时间、肠鸣音恢复时间、止痛药使用例数、术后下床时间、住院时间均低于对照组，两组相比较差异均有统计学意义（P＜0.05），观察组并发症发生0例，对照组6例占11.32%（6/53），两组相比较差异有统计学意义（P＜0.05）。结论LC治疗高龄急性胆囊炎具有创伤小、疼痛轻、腹腔粘连少、手术时间短、术中出血量少、术野清晰、切口美观、下床活动时间早、恢复快、术后并发症少等优点。
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