Resultados a corto plazo de la exploración laparoscópica de la vía biliar principal por coledocolitiasis en los pacientes de edad avanzada

IF 1.3 4区医学 Q3 SURGERY

Cirugia Espanola Pub Date : 2025-05-01 DOI:10.1016/j.ciresp.2025.01.002

Carlos Domingo-Del Pozo , Sergio Navarro-Martínez , Juan Carlos Sebastián-Tomás , Inés Domingo-Roig , Marta Córcoles-Córcoles , Amparo Martínez-Blasco , Inmaculada Ortiz-Tarín , Carmen Paya-Llorente

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Abstract

Introduction

Laparoscopic common bile duct exploration (LCBDE) is an alternative to endoscopic retrograde cholangiopancreatography (ERCP) for the treatment of choledocholithiasis. However, its use in elderly patients has been limited, often avoided due to concerns about associated morbidity. This study aims to evaluate the success rate and outcomes of LCBDE in elderly patients.

Methods

A retrospective study was conducted on patients with a confirmed diagnosis of choledocholithiasis via intraoperative cholangiography who underwent LCBDE from January 2009 to December 2022. Demographic, clinical, intraoperative, and postoperative data were collected. Patients were divided into two groups: those aged ≥70 years and those aged <70 years. Additionally, a subgroup analysis was performed on patients aged ≥80 years.

Results

A total of 330 patients were included (<70 years = 168; ≥70 years = 162). The success rate of LCBDE in patients aged ≥70 years was similar to that in patients aged <70 years (95.7 vs. 97%; P=.514). No statistically significant differences were found in intraoperative outcomes, short-term complications, or mortality between the two groups. These results were consistent in the subgroup analysis of patients aged ≥80 years (n = 67) compared with those aged <70 years.

Conclusion

LCBDE is a safe and effective procedure for patients aged ≥70 years and could be considered a first-line therapeutic option for this group.

Abstract Image

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对老年患者大肠结肠炎主要胆道进行腹腔镜检查的短期结果

腹腔镜胆总管探查（LCBDE）是治疗胆总管结石的一种替代内镜逆行胆管造影（ERCP）的方法。然而，其在老年患者中的应用受到限制，通常由于担心相关的发病率而避免使用。本研究旨在评价老年患者LCBDE的成功率和预后。方法回顾性分析2009年1月至2022年12月经术中胆道造影确诊为胆总管结石的患者行LCBDE手术。收集人口统计学、临床、术中和术后数据。患者分为年龄≥70岁和70岁两组。此外，对年龄≥80岁的患者进行亚组分析。结果共纳入330例患者(<；70岁= 168；≥70岁= 162)。≥70岁患者LCBDE的成功率与≥70岁患者相似(95.7 vs 97%；P = .514)。两组在术中结局、短期并发症或死亡率方面无统计学差异。这些结果在≥80岁患者（n = 67）与≥70岁患者的亚组分析中是一致的。结论lcbde对于年龄≥70岁的患者是一种安全有效的治疗方法，可作为该组患者的一线治疗选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cirugia Espanola SURGERY-

CiteScore

1.20

自引率

21.10%

发文量

173

审稿时长

53 days

期刊介绍： Cirugía Española, an official body of the Asociación Española de Cirujanos (Spanish Association of Surgeons), will consider original articles, reviews, editorials, special articles, scientific letters, letters to the editor, and medical images for publication; all of these will be submitted to an anonymous external peer review process. There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery.