70岁及以上患者的胆道手术：对我们连续100例病例经验的评估

[Biliary tract surgery in patients of 70 and older: an assessment of our experience with 100 consecutive cases].

作者信息

Caporale A, Giuliani A, Della Casa U, Aurello P, De Ligio F, Borghese M, Biolcati F, Sita A

机构信息

I Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi La Sapienza, Roma.

出版信息

G Chir. 1992 May;13(5):307-11.

PMID:1307710

Abstract

A series of 100 consecutive patients aged 70 years and older having biliary tract lithiasis observed over a 19-year period (1970-1989) at the 1st Surgical Department of the University of Rome was analyzed in an effort to define morbidity and mortality. Eighty-eight patients underwent surgical treatment. Three patients died postoperatively (3.4%); 12 patients had local and 13 general complications. The highest incidence of complications occurred in patients with associated diseases and bacteriobilia. A long-lasting symptomatology involved a more frequent exploration of the common bile duct. Morbidity and mortality were not significantly related to the type of surgical procedure performed. Elective biliary tract surgery is a safe procedure even in aged patients.

摘要

对罗马大学第一外科在1970年至1989年的19年期间观察到的100例连续的70岁及以上患有胆道结石的患者进行了分析，以确定发病率和死亡率。88例患者接受了手术治疗。3例患者术后死亡（3.4%）；12例患者出现局部并发症，13例出现全身并发症。并发症的最高发生率出现在患有相关疾病和胆系感染的患者中。长期症状导致更频繁地探查胆总管。发病率和死亡率与所进行的手术类型没有显著关系。择期胆道手术即使在老年患者中也是一种安全的手术。