两种时机开展腹腔镜胆囊切除术治疗老年急性胆囊炎的效果及对术后并发症的影响OA

Objective:To compare the effects of performing laparoscopic cholecystectomy at two different timings for the treatment of acute cholecystitis in the elderly.Method:A total of 92 elderly patients with acute cholecystitis admitted to Huangmei County Second People's Hospital from January 2024 to January 2025 were randomly divided into Group A and Group B,with 46 cases in each group.Both groups underwent laparoscopic cholecystectomy,with Group A undergoing early surgery(within 48 hours of onset)and Group B undergoing elective surgery(first receiving conservative treatment and then surgery after 48 hours of onset).Surgical-related indicators,postoperative recovery indicators,postoperative complications,and patient surgical evaluations were compared between the groups.Result:The operation time of Group A was shorter than that of Group B,and the intraoperative blood loss was less than that of Group B,with statistically significant differences(P＜0.05).There was no statistically significant difference in the rate of conversion to open surgery between Group A and Group B(P＞0.05).The time to first flatus after surgery,the duration of abdominal drainage after surgery,the time to first feeding after surgery,and the length of hospital stay were all shorter in Group A compared to Group B.The postoperative complication rate in Group A was lower than Group B.The excellent rate of surgical evaluation in Group A was higher than Group B,the above differences were statistically significant(P＜0.05).Conclusion:For elderly patients with acute cholecystitis,performing laparoscopic cholecystectomy early can shorten surgical time,reduce intraoperative bleeding,promote postoperative recovery,lower the risk of complications,and increase patient satisfaction.