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

Heliyon (Jan 2025)

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

Journal volume & issue: Vol. 11, no. 1
p. e41204

Abstract

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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.

Published in Heliyon

ISSN: 2405-8440 (Online)
Publisher: Elsevier
Country of publisher: United Kingdom
LCC subjects: Science: Science (General); Social Sciences: Social sciences (General)
Website: https://www.cell.com/heliyon/home

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