【摘要】 目的 探讨老年结石性胆囊炎急性发作时腹腔镜胆囊切除术(LC)的时机和方法。 方法 总结分析了61例老年结石性胆囊炎急性发作时行LC病例的临床资料。比较发病72h以内(早期)和72h以外(延期)两组的治疗效果。 结果 全组病例无严重并发症发生，但延期组的平均手术时间、平均术后住院日和平均术后下床活动时间均较长，早期组LC全部成功，延期组中转手术2例(8.7%)。 结论 老年人结石性胆囊炎急性发作时早期行LC是安全的，延期施行LC要极为谨慎。

    关键词 老年人 结石性胆囊炎急性发作 腹腔镜手术

    Experience of laparoscopic cholecystectomy for61aged acute cholecystitis with cholelithiasis

    Liu Zuming，Li Guosheng

    Department of General Surgery，The People's Hospital of Qianxinan Autonomous prefecture，Xingyi562400.

    【Abstract】 Objective To study the opportunity and procedure of laparoscopic cholecystectomy(LC)for aged acute cholecystitis with cholelithiasis.Methods To analyze clinical data of61aged acute cholecystitis with cholelithi-asis after LC.The results of early cases(within72h of acute attack)and delayed cases(over72h of acute attack)were compared.Results Both recovered without serious operative complication ......