【摘要】 目的 探讨老年胆囊结石患者腹腔镜胆囊切除术（ＬＣ）的特点。方法 回顾性分析近两年行ＬＣ的７２例老年胆囊结石患者的临床资料。结果７２例老年胆囊结石囊者中４６例（约６４％）合并有不同程度糖尿病、或心血管疾病及支气管疾患。７２例中７例（９．７％）胆囊与周围组织广泛粘连，手术操作难度较大。但无１例出现ＬＣ并发症，无１例死亡，无１例中转开腹。７２例均顺利出院。结论 老年人可耐受ＬＣ，且安全可靠，充分的围手术期处理、仔细的手术操作是成功的关键。更多还原

【Abstract】 Objective To evaluate the features of laparoscopic cholecystectomy (LC) for elderly patients with gallstone. Method We reviewed clinical data of 72 elderly patients with gallstone who received LC at our hospital during the last 2 years. Results 72 elderly patients with gallstone were accompanied by diabetes, and/or cardio- vascular diseases or bronchitis. During the operations, it was found that 7 cases (9 .7% ) in 72 elderly patients had severe adhesion surrounding gallbladder and it made LC difficulty to complete. But all of 72 cases were cured without any complication. Conclusions LC is acceptable and safe for elderly patients with gallstone. The key of success is adequate perioperative management and careful dissection during operation.更多还原