Chareton B, Letoquart J P, Lucas A, La Gamma A, Kunin N, Chaillou M, Mambrini A
Service de Chirurgie Générale A, C.H.R. de Rennes, Hôpital Sud.
J Chir (Paris). 1991 Oct;128(10):399-402.
The authors perform a retrospective study of a series of 147 patients aged 75 and more, who were treated for gallstone. AMong them, 104 had conventional surgery and 43 a nonsurgical treatment. The noticeable elements produced by this analysis are: the frequency of common bile duct lithiasis and of severe septic complication in elderly patients, the frequency of previous gallstone, sometimes remote in time, a significantly higher mortality when the treatment is non-surgical (p less than 0.001), mainly due to the septic complications of the lithiasis. the influence of the diathesis on mortality, and finally, the greater inocuity of the right infracostal approach in view of respiratory complications.
作者对147例75岁及以上接受胆结石治疗的患者进行了回顾性研究。其中，104例行传统手术，43例接受非手术治疗。该分析得出的值得注意的因素包括：老年患者胆总管结石和严重感染并发症的发生率、既往胆结石（有时时间间隔较远）的发生率、非手术治疗时显著更高的死亡率（p<0.001），主要是由于结石的感染并发症。体质对死亡率的影响，以及最后，鉴于呼吸并发症，右肋缘下入路的安全性更高。
