Hotspots and difficulties of biliary surgery in older patients  

作　　者：Zongming Zhang Jiahong Dong Fangcai Lin Qiusheng Wang Zhi Xu Xiaodong He Shizhong Yang Youwei Li Limin Liu Chong Zhang Zhuo Liu Yue Zhao Haiyan Yang Shuyou Peng 

机构地区：[1]Department of General Surgery,Beijing Electric Power Hospital,State Grid Corporation of China,Capital Medical University,Beijing 100073,China [2]Department of Hepatopancreatobiliary Surgery,Beijing Tsinghua Changgung Hospital,Tsinghua University,Beijing 102218,China [3]Department of General Surgery,Peking University People’s Hospital,Beijing 100044,China [4]Department of General Surgery,Peking University Third Hospital,Beijing 100191,China [5]Department of General Surgical,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China [6]Department of Radiology,Beijing Rehabilitation Hospital,Capital Medical University,Beijing 100144,China. [7]Department of Hepatobiliary Surgery,The Second Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou,Zhejiang 310009,China

出　　处：《Chinese Medical Journal》2023年第9期1037-1046,共10页中华医学杂志（英文版）

基　　金：Beijing Municipal Science&Technology Commission(No.Z171100000417056);Key Support Project of Guo Zhong Health Care of China General Technology Group(No.SGTYHT/21-JS-223)

摘　　要：With the accelerated aging society in China,the incidence of biliary surgical diseases in the elderly has increased significantly.The clinical characteristics of these patients indicate that improving treatment outcomes and realizing healthy aging are worthy of attention.How to effectively improve the treatment effect of geriatric biliary surgical diseases has attracted widespread attention.This paper reviews and comments on the hotspots and difficulties of biliary surgery in older patients from six aspects:(1)higher morbidity associated with an aging society,(2)prevention and control of pre-operative risks,(3)extending the indications of laparoscopic surgery,(4)urgent standardization of minimally invasive surgery,(5)precise technological progress in hepatobiliary surgery,and(6)guarantee of peri-operative safety.It is of great significance to fully understand the focus of controversy,actively make use of its favorable factors,and effectively avoid its unfavorable factors,for further improving the therapeutic effects of geriatric biliary surgical diseases,and thus benefits the vast older patients with biliary surgical diseases.Accordingly,a historical record with the highest age of 93 years for laparoscopic transcystic common bile duct exploration has been created by us recently.

关 键 词：Biliary tract diseases Biliary surgery Minimally invasive surgery Laparoscopic surgery Precise hepatobiliary surgical technology ELDERLY 

分 类 号：R657.4[医药卫生—外科学]