Application of laparoscopic cholecystectomy in elderly patients with previous abdominal surgeries

Objective To investigate the clinical efficacy and safety oflaparoscopic cholecystectomy (LC) in elderly patients after abdominal surgery.Methods 80 elderly patients (age ≥60 years) who had abdominal surgery undergoing LC were chosen as research group,80 elderly patients without abdominal surgery as control group,both groups were combined with general anesthesia endotracheal intubation vein downstream LC,four-hole method was used with CO2 gas abdominal pressure to 10 mmHg.Results The research group had 58 successful cases,the success rate was 72.5％,22 cases converted to laparotomy,transit rate was 27.5％,the average operative time was (68 ± 9) min; control group had 70 successful cases,the success rate was 87.5％.10 cases converted to laparotomy,transit rate was 12.5％,the average operative time was (48 ± 3) min.The laparoscopic surgery success rate of research group was significantly lower than that of control group,the transit rate was higher,the average operative time was longer than that in the control group (P＜0.05).Conclusion Multiple abdominal surgeries for elderly patients undergoing LC lead the increase of operative difficulty,increased transit rate,longer surgery time,but should not be used as a contraindication of LC. Key words: Laparoscopic cholecystectomy (LC); Advanced age; History of abdominal surgery; Transfer rate