Therapeutic experience of an 89-year-old high-risk patient with incarcerated cholecystolithiasis:A case report and literature review  

作　　者：Zong-Ming Zhang Chong Zhang Zhuo Liu Li-Min Liu Ming-Wen Zhu Yue Zhao Bai-Jiang Wan Hai Deng Hai-Yan Yang Jia-Hong Liao Hong-Yan Zhu Xue Wen Li-Li Liu Man Wang Xiao-Ting Ma Miao-MiaoZhang Jiao-Jiao Liu Tian-Tian Liu Niu-Niu Huang Pei-Ying Yuan Yu-Jiao Gao Jing Zhao Xi-Ai Guo FangLiao Feng-Yuan Li Xue-Ting Wang Rui-Jiao Yuan Fang Wu 

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 Pathology,Beijing Electric Power Hospital,State Grid Corporation of China,Capital Medical University,Beijing 100073,China

出　　处：《World Journal of Clinical Cases》2020年第20期4908-4916,共9页世界临床病例杂志

基　　金：Beijing Municipal Science and Technology Commission,No.Z171100000417056。

摘　　要：BACKGROUND The global pandemic of coronavirus disease 2019 pneumonia poses a particular challenge to the emergency surgical treatment of elderly patients with high-risk acute abdominal diseases.Elderly patients are a high-risk group for surgical treatment.If the incarceration of gallstones cannot be relieved,emergency surgery is unavoidable.CASE SUMMARY We report an 89-year-old male patient with acute gangrenous cholecystitis and septic shock induced by incarcerated cholecystolithiasis.He had several coexisting,high-risk underlying diseases,had a history of radical gastrectomy for gastric cancer,and was taking aspirin before the operation.Nevertheless,he underwent emergency laparoscopic cholecystectomy,with maintenance of postoperative heart and lung function,successfully recovered,and was discharged on day 8 after the operation.CONCLUSION Emergency surgery for elderly patients with acute abdominal disease is safe and feasible during the coronavirus disease 2019 pandemic,the key is to abide strictly by the hospital's epidemic prevention regulations,fully implement the epidemic prevention procedure for emergency surgery,fully prepare before the operation,accurately perform the operation,and carefully manage the patient postoperatively.

关 键 词：Extremely elderly patient Cholecystolithiasis incarceration Acute gangrenous cholecystitis Acute abdominal diseases COVID-19 Case report 

分 类 号：R657.42[医药卫生—外科学]