Objective To explore the curative effects of laparoscopic cholecystectomy for the acute senile gangrenous cholecysti-tis. Methods The clinical dates about 54 cases of acute senile gangrenous cholecystitis who were treated by laparoscopic cholecystectomy were analyzed. Results 50 necrotic gallbladders were completely removed by laparoscopic cholecystectomy, 4 cases were removed by traditional cholecystectomy. There were no surgical complications. All patients were cured and discharged home in 8 — 13 d. Conclusion Laparoscopic cholecystectomy is a safe and effective therapy for the acute senile gangrenous cholecystitis.%目的 探讨腹腔镜胆囊切除术治疗老年急性坏疽性胆囊炎的效果.方法 回顾性分析该院应用腹腔镜胆囊切除术治疗54例老年急性坏疽性胆囊炎患者的临床资料.结果 50例老年急性坏疽性胆囊炎患者在腹腔镜下切除病变胆囊,4例中转开腹切除病变胆囊,住院时间8～13 d,无手术并发症,54例均痊愈出院,无死亡病例.结论 腹腔镜胆囊切除术是治疗老年急性坏疽性胆囊炎安全有效的方法,值得临床推广.
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