【摘要】 目的 探讨高龄患者行腹腔镜胆囊切除术(LC)的并存疾病的围手术期处理。方法 回顾性分析1998年4月～2003年12月间行LC的70岁以上高龄患者154例临床资料。结果 154例中伴1种以上合并症者114例，完成LC 130例，中转24例。术后发生各种并发症19例，均治愈，无死亡病例。结论 高龄患者胆囊疾病在术前重视并存疾病的治疗、术中及术后监测的基础上LC更能显示其创伤小、恢复快的优越性，是高龄患者安全可靠的手术方法。

    【关键词】 高龄患者；腹腔镜胆囊切除术；围手术期

    The perioperative management of coexisting disease for the elderly patients with laparoscopic cholecystectomy

    BAO Yan-yi,YAN Bo,ZHU Wen-yi.

    Department of General Surgery and Laparoscopic Surgery,Punan Hospital,Shanghai 200125,China

    【Abstract】 Objective To explore the perioperative management of concomitant diseases in elderly patients that undergo laparoscopic cholecystectomy(LC).Methods Retrospective analysis of 154 cases of more than 70 years old who underwent LC in our hospital from April 1998 to December 2003 was performed.Results Among the 154 patients,114 patients had more than 1 concomitant disease.130 cases of LC were performed;in 24 cases intra-operative mediation to open surgery was decided.Postoperative complication of different kind was observed and all were controlled without any death case.Conclusion Preoperative evaluation of concomitant disease in elderly gallbladder disease,intra-operative and post operative monitoring has allowed LC to show up it advantage in micro injury and early improvement.LC is a save surgical procedure in elderly patients. ......