Leow C K, Thompson M H
Ann R Coll Surg Engl. 1986 Nov;68(6):310-1.
Endoscopic papillotomy without cholecystectomy has been performed in 20 elderly patients with complications of bile duct stones. Good biliary drainage was achieved in 17, and there were no complications. One cholecystectomy was subsequently required. Later deaths have been due to unrelated causes. It is concluded that endoscopic treatment alone may be all that is required to manage bile duct stones in the elderly.
20例患有胆管结石并发症的老年患者接受了未行胆囊切除术的内镜乳头切开术。17例实现了良好的胆汁引流,且无并发症发生。随后有1例患者需要进行胆囊切除术。后期死亡是由无关原因导致的。结论是,对于老年胆管结石患者,单独采用内镜治疗可能就足够了。