老年患者胆固醇胆病的腹腔镜常见胆道探索的短期结果:一个比较的单中心研究
Carlos Domingo-Del Pozo1, Sergio Navarro-Martínez1, Juan Carlos Sebastián-Tomás1
1Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Doctor Peset, Valencia, Spain.
Cirugia espanola
|February 23, 2025
概括
腹腔镜常见胆道探索 (LCBDE) 对患有胆道胆病的老年患者是安全有效的. 70岁及以上的患者的结果与年轻人的结果相似,支持LCBDE作为主要治疗方法.
科学领域:
- 胃肠病学 胃肠病学
- 肝胆道手术 肝胆道手术
- 最少侵入性的手术
背景情况:
- 胆道胆病 (胆道结石) 是很常见的.
- 腹腔镜常见胆道探测 (LCBDE) 是ERCP的替代方案.
- 由于患病率问题,老年患者的LCBDE使用是有限的.
研究的目的:
- 评估老年患者 (≥70岁) 的LCBDE成功率和结果.
- 将老年人和年轻患者之间的结果进行比较.
- 分析一小组非常老年患者 (≥80岁) 的结果.
主要方法:
- 对330名接受LCBDE治疗的胆固醇胆病患者 (2009-2022) 的回顾性研究.
- 患者分为以下两组:≥70岁 (n=162) 和<70岁 (n=168).
- 对≥80岁 (n=67) 的患者进行亚组分析.
主要成果:
- 在老年患者 (95.7%) 和年轻患者 (97%) 中,LCBDE的成功率相似 (p=0.514).
- 在手术后的结果,短期并发症或死亡率上没有显著差异.
- 结果在≥80岁子组中一致.
结论:
- 对于老年患者 (≥70岁) 来说,LCBDE是一种安全有效的程序.
- 在这个人群中,LCBDE可以被认为是胆固醇胆病的第一线选择.
- 有证据支持在老年人中扩大LCBDE的使用.
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