Comparison of therapeutic efficacy of triple-endoscopic surgery for common bile duct stones combined with gallbladder stones in elderly and non-elderly patients
Objective To explore the therapeutic efficacy of three-port laparoscopic common bile duct stones combined with gallbladder stones surgery in elderly patients.Methods From September 2020 to July 2022,retrospective analysis was conducted for 65 patients undergoing laparoscopic,choledochoscopic and duodenoscopic three-port combined surgery for common bile duct stones and gallbladder stones.There were 36 males and 29 females with an age range of(20-87)years.They were assigned into two groups of elderly(n=32)and non-elderly(n=33).The relevant clinical data included operative duration,volume of blood loss,common bile duct diameter,postoperative hospitalization stay,postoperative complications and hospital expenses were collected.Results The total length of hospitalization stay was longer in elderly group than that in non-elderly group[(14.5±3.6)vs.(12.5±4.3)day].However,the differences were not statistically significant in operative duration,intraoperative volume of blood loss,postoperative hospitalization stay,hospital expenses or postoperative complications[12.5%(4/32)vs.6.1%(2/33)].Conclusion No significant difference exists in the efficacy of three-port combined surgery between elderly and non-elderly patients,making it a safe and effective procedure for elders.
LaparoscopeCholedochoscopyDuodenoscopyCommon bile duct stonesGallbladder stonesElderly patients
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