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目的：探讨老年肥胖患者腹腔镜、传统开腹胆囊切除术的手术特殊性及其疗效对比。方法回顾分析69例老年肥胖患者腹腔镜和68例开腹胆囊切除术的临床资料。结果腹腔镜组除1例术中转开腹外其它病例均完成腹腔镜手术，在手术时间、住院时间、出血量、胃肠功能恢复时间、并发症发生率等优于开腹组（P<0.05），平均住院费用高于开腹组（P<0.05）。结论经过完善的术前准备，术中根据病例特点进行相应处理，老年肥胖患者的LC是安全、可行的，疗效优于开腹组。“,”Objective: To study the clinical effects of laparoscopic cholecystectomy (LC) in elderly-obese patients. Methods: One hundred and thirty-seven elderly-obese patients who underwent cholecystectomy were analyzed retrospectively. Al patients were divided into 2 groups. One was LC group including 69 patients; the other was opening surgery group including 68 patients. Results: Compared to the opening surgery group, the operation time, hospital day and recovery time of gastroenterology function are al shorter in LC group. The bleeding and complication was even less in LC group. The difference has significance in statistics. Conclusion: LC in elderly-obese patients is safe and effective.