Experience in laparoscopic transcystic common bile duct exploration for super-elderly patients with choledocholithiasis—A 96-year-old case report
Zongming Zhang,
Limin Liu,
Chong Zhang,
Zhuo Liu,
Yue Zhao,
Hui Qi,
Haiyan Yang,
Baijiang Wan,
Mingwen Zhu,
Hai Deng,
Jinqiu Feng,
Fucheng Liu,
Zhentian Guo,
Peijie Yao
Affiliations
Zongming Zhang
Department of General Surgery, Beijing Electric Power Hospital, State Grid Corporation of China, Capital Medical University, Beijing, 100073, China; Key Laboratory of Geriatrics (Hepatobiliary Diseases), China General Technology Group, Beijing, 100073, China; Corresponding author. Department of General Surgery, Beijing Electric Power Hospital, State Grid Corporation of China, Capital Medical University, No.1 Taipingqiaoxili, Fengtai District, Beijing, 100073, [email protected]
Limin Liu
Department of General Surgery, Beijing Electric Power Hospital, State Grid Corporation of China, Capital Medical University, Beijing, 100073, China; Key Laboratory of Geriatrics (Hepatobiliary Diseases), China General Technology Group, Beijing, 100073, China
Chong Zhang
Department of General Surgery, Beijing Electric Power Hospital, State Grid Corporation of China, Capital Medical University, Beijing, 100073, China; Key Laboratory of Geriatrics (Hepatobiliary Diseases), China General Technology Group, Beijing, 100073, China
Zhuo Liu
Department of General Surgery, Beijing Electric Power Hospital, State Grid Corporation of China, Capital Medical University, Beijing, 100073, China; Key Laboratory of Geriatrics (Hepatobiliary Diseases), China General Technology Group, Beijing, 100073, China
Yue Zhao
Department of General Surgery, Beijing Electric Power Hospital, State Grid Corporation of China, Capital Medical University, Beijing, 100073, China; Key Laboratory of Geriatrics (Hepatobiliary Diseases), China General Technology Group, Beijing, 100073, China
Hui Qi
Department of General Surgery, Beijing Electric Power Hospital, State Grid Corporation of China, Capital Medical University, Beijing, 100073, China; Key Laboratory of Geriatrics (Hepatobiliary Diseases), China General Technology Group, Beijing, 100073, China
Haiyan Yang
Department of General Surgery, Beijing Electric Power Hospital, State Grid Corporation of China, Capital Medical University, Beijing, 100073, China; Key Laboratory of Geriatrics (Hepatobiliary Diseases), China General Technology Group, Beijing, 100073, China
Baijiang Wan
Department of General Surgery, Beijing Electric Power Hospital, State Grid Corporation of China, Capital Medical University, Beijing, 100073, China; Key Laboratory of Geriatrics (Hepatobiliary Diseases), China General Technology Group, Beijing, 100073, China
Mingwen Zhu
Department of General Surgery, Beijing Electric Power Hospital, State Grid Corporation of China, Capital Medical University, Beijing, 100073, China; Key Laboratory of Geriatrics (Hepatobiliary Diseases), China General Technology Group, Beijing, 100073, China
Hai Deng
Department of General Surgery, Beijing Electric Power Hospital, State Grid Corporation of China, Capital Medical University, Beijing, 100073, China; Key Laboratory of Geriatrics (Hepatobiliary Diseases), China General Technology Group, Beijing, 100073, China
Jinqiu Feng
Key Laboratory of Geriatrics (Hepatobiliary Diseases), China General Technology Group, Beijing, 100073, China
Fucheng Liu
Key Laboratory of Geriatrics (Hepatobiliary Diseases), China General Technology Group, Beijing, 100073, China
Zhentian Guo
Department of General Surgery, Beijing Electric Power Hospital, State Grid Corporation of China, Capital Medical University, Beijing, 100073, China; Key Laboratory of Geriatrics (Hepatobiliary Diseases), China General Technology Group, Beijing, 100073, China
Peijie Yao
Department of General Surgery, Beijing Electric Power Hospital, State Grid Corporation of China, Capital Medical University, Beijing, 100073, China; Key Laboratory of Geriatrics (Hepatobiliary Diseases), China General Technology Group, Beijing, 100073, China
Background: Super-elderly patients with choledocholithiasis are considered to be at high risk for undergoing surgery. While laparoscopic transcystic common bile duct exploration (LTCBDE) is regarded as a challenging procedure for super-elderly patients with choledocholithiasis, there have been no reported cases of its use in super-elderly patients over the age of 96. Case summary: This case study presents the case of a 96-year-old female patient with acute calculous cholecystitis and choledocholithiasis. Despite the presence of multiple high-risk comorbidities, the patient underwent with laparoscopic cholecystectomy (LC) plus LTCBDE, with appropriate perioperative safety measures in place, and made a full recovery, being discharged from the hospital on the seventh day following the operation. Conclusion: The case study demonstrates the successful treatment of a 96-year-old patient with choledocholithiasis via LTCBDE, utilising skilled laparoscopic and choledochoscopic techniques along with robust perioperative safety measures. This achievement sets a historical precedent for the successful treatment of a 96-year-old patient with choledocholithiasis via LTCBDE, both domestically and internationally.
