Study on the timing of sequential LC after ERCP in elderly patients with cholecystolithiasis complicated with choledocholithiasis
10.3969/j.issn.1005-6483.2021.06.017
- VernacularTitle:老年胆囊结石并胆总管结石病人经内镜下逆行胰胆管造影术后序贯腹腔镜胆囊切除术治疗手术时机的研究
- Author:
Lei WANG
1
;
Kangwei LIU
;
Yuling DUAN
Author Information
1. 563000 贵州遵义,遵义医科大学附属医院肝胆胰外科
- Keywords:
elderly;
choledocholithiasis;
endoscopic;
retrograde cholangiopancreatography;
cholecystectomy
- From:
Journal of Clinical Surgery
2021;29(6):559-561
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety and efficacy of laparoscopic cholecystectomy in different time points after endoscopic retrograde cholangiopancreatography in elderly patients with cholecystolithiasis and choledocholithiasis. Methods 99 elderly patients （≥60 years old）with cholecystolithiasis and choledocholithiasis treated by sequential LC after ERCP in the Department of Hepatobiliary and Pancreatic surgery in our hospital from January 2015 to June 2020 were analyzed. Aocording to different time points after ERCP, LC was divided into experimental group (within 1 day after ERCP) and control group (within 2-7 days after ERCP). The complications were followed up by telephone within 3 months after operation. Results After analysis，the difference between the experimental group and the control group in the total length of hospitalization [(13.0±4.6)d vs ( 15.1±4.4)d] and total hospitalization expenses (38 172.5±12 448.9) vs ( 42 535.4±8 814.6)] was statistically significant (P<0.05). However, there was no significant difference in the conversion rate of LC to laparotomy, the total postoperative complications , the length of hospital stay after LC，the amount of blood loss during LC and the time of LC operation between the two groups(P>0.05). Conclusion For elderly patients with cholecystolithiasis and choledocholithiasis, LC within 1 day after ERCP does not increase the difficulty of operation and postoperative complications，but shortens the hospitalization time, and it is economical and safe at the same time.
