Clinical efficacy evaluation of laparoscopic surgery for elderly patients with gallstones
腹腔镜手术治疗高龄胆结石患者的临床成效评估

摘要

目的 探讨腹腔镜手术治疗高龄胆结石患者的临床成效。方法 研究选择62例源自本院的高龄胆结石患者进行研究，时间节点为2024年5月-2025年5月，采用随机数字表法将所有的高龄胆结石患者进行分组，即对照组纳入31例患者行传统开腹胆囊切除术治疗，观察组纳入31例患者行腹腔镜手术治疗，以此比较两组患者的手术时间、术中出血量、首次排气时间、并发症发生率和术后生活质量。结果 观察组采用腹腔镜胆囊切除术能够缩短手术时间、减少术中出血量并加快术后首次排气时间（P＜0.05）；观察组患者的手术模式能够有效降低并发症发生率（P＜0.05）；发现观察组患者的术后生活质量显著更高（P＜0.05）。结论 腹腔镜手术有效缩短其手术所需时间，减少术中的出血量，加快首次排气的时间，同时因手术切口小，患者恢复快，并发症发生率有所降低，患者的生活质量也随之提升，值得临床推广应用。

Abstract

Objective To explore the clinical efficacy of laparoscopic surgery in the treatment of elderly patients with gallstones.
Methods A total of 62 elderly patients with gallstones from our hospital were selected for the study, with a time period from May 2024 to May 2025. All elderly patients with gallstones were randomly divided into two groups using a random number table method. The control group included 31 patients who underwent traditional open cholecystectomy, while the observation group included 31 patients who underwent laparoscopic surgery. The surgical time, intraoperative bleeding volume, first exhaust time, incidence of complications, and postoperative quality of life of the two groups were compared.
Results Laparoscopic cholecystectomy in the observation group can shorten the operation time, reduce intraoperative bleeding, and accelerate the first postoperative gas exhaust time (P<0.05); The surgical mode of the observation group patients can effectively reduce the incidence of complications (P<0.05); It was found that the postoperative quality of life of the observation group patients was significantly higher (P<0.05).
Conclusion   Laparoscopic surgery can effectively shorten the surgical time, reduce intraoperative bleeding, and accelerate the time for the first gas release in elderly patients with gallstones. At the same time, due to the small surgical incision, patients recover quickly, the incidence of complications is reduced, and the quality of life of patients is also improved. It is worthy of clinical promotion and application.