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- Title
胆道镜联合腹腔镜胆总管探查术治疗高龄患者胆总管结石的效果.
- Authors
宋德静; 刘付宝; 童朝刚; 张腾飞; 安东; 李俊
- Abstract
Objective To explore the safety and feasibility of cholangioscopy combined with laparoscopic common bile duct exploration (LCBDE) for the treatment of common duct stones in elderly patients (≥80 years old). Methods Retrospective analysis of medical records of 40 elderly (≥80 years old, observation group) and 40 patients (<80 years old, control group) with common bile duct stones who underwent choledochoscopy combined with laparoscopic common bile duct exploration treatment (a total of 80 cases) in the Affiliated Chaohu Hospital of Anhui Medical University from March 2017 to October 2022. Compare the success rate of laparoscopic surgery, one-time stone removal rate, surgery time, hospital stay, hospitalization costs, postoperative time to get out of bed, postoperative eating time, postoperative time to remove abdominal drainage tubes, and the number of cases with or without entering the intensive care unit (ICU) after surgery between two groups. At the same time, compare the total postoperative complications of the two groups, including bile leakage, stone residue, pulmonary infection, combined lower limb thrombosis, and pressure ulcers. Results There were no deaths in both groups, 39 patients in observation group finished the surgery, 1 was transferred to laparotomy, 38 patients in control group finished the surgery, and 2 were transferred to laparotomy. There was no significant difference between the two groups in surgical success rate, one-time stone clearance rate, number of patients admitted to the ICU after surgery, postoperative drainage tube withdrawal time, surgical duration and total complications (P>0.05). Compared with the length of hospital stay and total hospital expenses, the observation group had a significant disadvantage (P< 0.05). Conclusions The cholangioscopy combined with laparoscopic common bile duct exploration (LCBDE) is safe and feasible for the treatment of common duct stones in elderly patients (≥80 years of age) with adequate perioperative management, adjustment of medical underlying disease, and correction of adverse surgical influence factors.
- Publication
Chinese Journal of Clinical Healthcare, 2023, Vol 26, Issue 6, p844
- ISSN
1672-6790
- Publication type
Article
- DOI
10.3969/J.issn.1672-6790.2023.06.029