ArticleSurgical endoscopy2017
Laparoscopic common bile duct exploration: a safe and definitive treatment for elderly patients.
Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Laparoscopic common bile duct exploration for elderly patients with choledocholithiasis: a systematic review and meta-analysis.Surgical endoscopy · 2020Pooled it
- Safety and Outcomes of Laparoscopic Common Bile Duct Exploration in Elderly Patients: A Retrospective Comparative Cohort Study From a High-Volume Specialist Centre.Journal of hepato-biliary-pancreatic sciences · 2026Article
- Article
- Index admission vs elective laparoscopic common bile duct exploration: a district general hospital experience over 6 years.Langenbeck's archives of surgery · 2023Article
- Is Laparoscopic Common Bile Duct Exploration Safe for the Oldest Old Patients?Annals of geriatric medicine and research · 2022Article
- 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.Journal of minimally invasive surgery · 2022Article
- Laparoscopic common bile duct exploration with primary closure is beneficial for patients with previous upper abdominal surgery.Surgical endoscopy · 2022Article
- 3D laparoscopic common bile duct exploration versus 2D in choledocholithiasis patients: a propensity score analysis.Surgical endoscopy · 2021Article
- Puncture and discission with a needle: A new method for laparoscopic common bile duct exploration.Medicine · 2020Observational
- Laparoscopic common bile duct exploration in patients with previous abdominal biliary tract operations.Surgical endoscopy · 2020Article
- Safety and efficacy of emergency laparoscopic common bile duct exploration in elderly patients with complicated acute cholangitis.Surgical endoscopy · 2020Article
- Clinical analysis of treatment strategies to cholecystocholedocholithiasis patients with previous subtotal or total gastrectomy: a retrospective cohort study.BMC surgery · 2018Article
- Laparoscopic common bile duct exploration; a preferential pathway for elderly patients.Annals of medicine and surgery (2012) · 2018Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCommon bile duct (CBD) stone is one of the most common diseases among elderly people. In recent decades, there are numerous studies regarding the safety and efficacy of laparoscopic common bile duct exploration (LCBDE). Elderly patients are often regarded as high-risk patients because they are more likely to present with age-specific deterioration of organ function and coexisting chronic diseases, which may reduce their tolerance of laparoscopic surgery. Although laparoscopic surgery for choledocholithiasis is now widely accepted as the treatment for CBD stone, its appropriateness for the treatment of elderly patients or those with coexisting high-risk patients has not been well established. Therefore, the objective of this paper is to analyze the safety and efficacy of LCBDE in elderly patients.
methodsBetween January 2012 and November 2015, 376 patients underwent LCBDE in our center. Based on their ages, they were divided into two groups, and a retrospective study was performed. By making comparisons between younger group who were younger than 70 years (n = 253) and elderly group who were 70 years old or older (n = 123), the demographics, clinical characteristics, laboratory data, operative parameters and outcomes were analyzed.
resultsBefore operation, elderly patients had more coexisting chronic diseases and risk factors, such as arterial hypertension, heart diseases, pulmonary diseases and previous abdominal surgery (P < 0.05). In both groups, LCBDE was equally successful with a high clearance rate (100 % in elderly patients vs. 98.8 % in younger group, P = 0.554). Besides, the operating time, intraoperative blood loss, postoperative hospital stay, total costs and overall complication showed no significant difference between two groups (P > 0.05). There was no major bile duct injury or death in either group.
conclusionAlthough elderly patients are frequently confronted with coexisting disorders, LCBDE can be considered as a safe and effective technique in choledocholithiasis treatment for elderly patients.
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