Comparison of one-stage laparoscopic common bile duct exploration plus cholecystectomy and two-stage endoscopic sphincterotomy plus laparoscopic cholecystectomy for concomitant gallbladder and common bile duct stones in patients over 80 years old

التفاصيل البيبلوغرافية
العنوان: Comparison of one-stage laparoscopic common bile duct exploration plus cholecystectomy and two-stage endoscopic sphincterotomy plus laparoscopic cholecystectomy for concomitant gallbladder and common bile duct stones in patients over 80 years old
المؤلفون: Seung Jae Lee, In Seok Choi, Ju Ik Moon, Young Woo Choi, Ki-Hyun Ryu
المصدر: Journal of Minimally Invasive Surgery. 25:11-17
بيانات النشر: The Korean Society of Endoscopic and Laproscopic Surgeons, 2022.
سنة النشر: 2022
الوصف: This study was performed to compare the safety and efficacy of one-stage laparoscopic common bile duct exploration (LCBDE) plus laparoscopic cholecystectomy (LC) with those of endoscopic sphincterotomy (EST) plus LC for concomitant gallbladder (GB) and common bile duct (CBD) stones in elderly patients.This single-center retrospective study reviewed the medical records of patients aged80 years who were diagnosed with concomitant GB and CBD stones between January 2010 and December 2020.Of the 137 patients included in this study, 46 underwent one-stage LCBDE + LC and 91 underwent two-stage EST + LC. The frequency of previous gastrectomy (23.9% vs. 5.5%,One-stage LCBDE + LC is a safe and effective treatment for concomitant GB and CBD stones, even in elderly patients, and may be considered as the first treatment option in elderly patients with previous gastrectomy, multiple large (≥ 15 mm) CBD stones, or inability to cooperate with endoscopic procedures.
تدمد: 2234-5248
2234-778X
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b7884e1ce96d46d9701a55b1dc346e09
https://doi.org/10.7602/jmis.2022.25.1.11
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....b7884e1ce96d46d9701a55b1dc346e09
قاعدة البيانات: OpenAIRE