Application of laparoscopic common bile duct exploration with primary closure in treatment of choledocholithiasis in elderly patients

doi:10.3969/j.issn.1006-7795.2017.01.016

Abstract

Abstract: Objective To investigate the safety and feasibility of laparoscopic common bile duct exploration (LCBDE) with primary closure for management of choledocholithiasis in elderly patients. Methods The clinical data of 63 elderly patients (≥65 years) with gallbladder stones complicated with choledocholithiasis who were undergone LCBDE and primary closure from July 2012 to July 2016 were retrospectively analyzed.Results LCBDE and primary closure of all the 63 cases were successfully completed. The operative time was 43-164 (79.8±20.5) min, the blood loss was 10-150 (24.4±21.1) mL, postoperative hospital stay was 3-15 (6.6±1.9) d.Six cases suffered from bile leakage and one of them received second operation. During the follow-up of 3 to 48 months, residual common bile duct stones presented in 1 case.Conclusion LCBDE with primary closure has the advantages of minimal invasion and rapid recovery. It is safe and feasible to treat the elderly patients with common bile duct stones under the premise of strict surgical indications, skilled laparoscopic procedures and accurate endoscopic suture techniques.

Key words: laparoscopy, common bile duct exploration, choledocholithiasis, primary closure, elderly patients

CLC Number:

R657.4

Liang Kuo, Liu Dongbin, Liu Jiafeng, Xu Dahua, Wang Yuehua, Li Fei. Application of laparoscopic common bile duct exploration with primary closure in treatment of choledocholithiasis in elderly patients[J]. Journal of Capital Medical University, 2017, 38(1): 78-81.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2017.01.016

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2017/V38/I1/78

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