The clinical characteristics and strategies of treatment in the elderly patients with cholelithiasis
- VernacularTitle:老年胆石症的临床特点和治疗
- Author:
Hong ZHANG
- Publication Type:Journal Article
- Keywords:
Elderly patients;
Cholelithiasis;
Surgical treatment
- From:
Journal of Chongqing Medical University
1986;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the experience in the surgical treatment of the elderly patients with cholelithiasis.Methods:136 patients with cholelithiasis were retrospectively studied.Results:All patients underwent opertion.118 cases recurred(86.7%),and 4 cases died(3.85%).65 cases underwent cholecystectomy,while 36 cases underwent cholecystectomy plus exploration of common bile duct.25 cases were performed with exploration of common bile duct,and 7 cases underwent choledochostomy plus drain.In addition,3 cases underwent cholecystostomy.Conclusion:The characteristics are atypical manifestation,predispose to delay the diagnosis,more associasion with chronic disease.However,the age is no contraindication of operation.The satisfactory results can be achieved granted the indication and time for the operation are selected properly,and the management of the perioperative period is much concerned as well as the easy-going effective way of the operation is taken.
