期刊文献+

Recurrent lithiasis after surgical treatment of elderly patients with choledocholithiasis 被引量:6

Recurrent lithiasis after surgical treatment of elderly patients with choledocholithiasis
下载PDF
导出
摘要 BACKGROUND: The recurrence rates of choledocholithiasis depend on the type of the disease. This study was undertaken to examine recurrent lithiasis after surgical treatment of elderly patients with choledocholithiasis, especially with primary common bile duct stones, and thereby to determine the best treatment modality for choledocholithiasis in the elderly. METHODS: The recurrence rates of choledocholithiasis were calculated from the records of 193 outpatients who had been treated from January 1993 to January 2005 and monitored for periods ranging from I to 12 years (mean 6.7 years). The patients were divided into 3 groups: 81 who had undergone choledocholithotomy and T-tube drainage, 41 who had had choledochoduodenostomy. and 71 patients who had received choledochojejunostomy. RESULTS: Since the 41 choledochoduodenostomy cases had only one recurrence of choledocholithiasis, the recurrence rate was analyzed for the remaining 152 cases, which were divided into two groups: group A with recurrent lithiasis (13 cases), and group B without recurrence (139 cases). The recurrence was found in 7 patients after choledocholithotomy and T-tube drainage (7/81, 8.6%), and in 6 patients after choledochojejunostomy (6/71, 8.5%). The recurrence rates for these procedures were higher than for choledochoduodenostomy (1/41, 2.4%, P<0.05). Moreover, stones recurred in 4 of the 11 patients with primary bile duct stones who underwent choledocholithotomy an T-tube drainage (4/11, 36.4%), and in 5 of the 34 patients who had choledochojejunostomy (5/34, 14.7%). The recurrence rates for these procedures were higher than for choledochoduodenostomy (1/39, 2.6%, P<0.05). The diameter of the common bile duct was more dilated in group A (14.6 +/- 3.9 mm) than in group B (10.8 +/- 4.5 turn, P<0.05). Primary bile duct stones were found in 9 cases of group A (69.2%), and in 36 cases of group B (25.9%, P<0.01). CONCLUSION: Choledochoduodenostomy should be recommended for elderly patients with primary bile duct stones to prevent postoperative recurrent lithiasis. BACKGROUND: The recurrence rates of choledocholithiasis depend on the type of the disease. This study was undertaken to examine recurrent lithiasis after surgical treatment of elderly patients with choledocholithiasis, especially with primary common bile duct stones, and thereby to determine the best treatment modality for choledocholithiasis in the elderly. METHODS: The recurrence rates of choledocholithiasis were calculated from the records of 193 outpatients who had been treated from January 1993 to January 2005 and monitored for periods ranging from I to 12 years (mean 6.7 years). The patients were divided into 3 groups: 81 who had undergone choledocholithotomy and T-tube drainage, 41 who had had choledochoduodenostomy. and 71 patients who had received choledochojejunostomy. RESULTS: Since the 41 choledochoduodenostomy cases had only one recurrence of choledocholithiasis, the recurrence rate was analyzed for the remaining 152 cases, which were divided into two groups: group A with recurrent lithiasis (13 cases), and group B without recurrence (139 cases). The recurrence was found in 7 patients after choledocholithotomy and T-tube drainage (7/81, 8.6%), and in 6 patients after choledochojejunostomy (6/71, 8.5%). The recurrence rates for these procedures were higher than for choledochoduodenostomy (1/41, 2.4%, P<0.05). Moreover, stones recurred in 4 of the 11 patients with primary bile duct stones who underwent choledocholithotomy an T-tube drainage (4/11, 36.4%), and in 5 of the 34 patients who had choledochojejunostomy (5/34, 14.7%). The recurrence rates for these procedures were higher than for choledochoduodenostomy (1/39, 2.6%, P<0.05). The diameter of the common bile duct was more dilated in group A (14.6 +/- 3.9 mm) than in group B (10.8 +/- 4.5 turn, P<0.05). Primary bile duct stones were found in 9 cases of group A (69.2%), and in 36 cases of group B (25.9%, P<0.01). CONCLUSION: Choledochoduodenostomy should be recommended for elderly patients with primary bile duct stones to prevent postoperative recurrent lithiasis.
出处 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2007年第1期67-71,共5页 国际肝胆胰疾病杂志(英文版)
关键词 CHOLEDOCHOLITHIASIS ELDERLY surgical treatment choledocholithiasis elderly surgical treatment
  • 相关文献

参考文献30

  • 1P. Mallon,J. White,M. McMenamin,N. Das,D. Hughes,R. Gilliland.Increased cholecystectomy rate in the laparoscopic era[J]. Surgical Endoscopy . 2006 (6)
  • 2A. M. Paganini,M. Guerrieri,J. Sarnari,A. Sanctis,G. D’Ambrosio,G. Lezoche,E. Lezoche.Long-term results after laparoscopic transverse choledochotomy for common bile duct stones[J]. Surgical Endoscopy . 2005 (5)
  • 3C. K. Tai,C. N. Tang,J. P. Y. Ha,C. H. Chau,W. T. Siu,M. K. W. Li.Laparoscopic exploration of common bile duct in difficult choledocholithiasis[J]. Surgical Endoscopy . 2004 (6)
  • 4R. C. A. Macadam,R. J. R. Goodall.Long-term symptoms following endoscopic sphincterotomy for common bile duct stones[J]. Surgical Endoscopy . 2004 (3)
  • 5Robert J. Fitzgibbons, Jr.,Glenn C. Gardner.Laparoscopic Surgeon and the Common Bile Duct[J]. World Journal of Surgery . 2001 (10)
  • 6Pereira-Lima JC,Rynkowski CB,Rhoden EL.Endoscopic treatment of choledocholithiasis in the era of laparoscopic cholecystectomy: prospective analysis of 386 patients. Hepato Gastroenterology . 2001
  • 7Wenner DE,,Whitwam P,Turner D,Chadha A,Degani J.Laparoscopic cholecystectomy and management of biliary tract stones in a freestanding ambulatory surgery center. Journal of the Society of Laparoendoscopic Surgeons . 2006
  • 8Kuo KK,,Sheen PC,Lee KT,Sheen MC,Chuang SC,Wang SR, et al.Bile duct cancer 25 years after choledochoduodenostomy: a case report. Kaohsiung Journal of Medical Sciences . 2002
  • 9Han HS,,Yi NJ.Laparoscopic Roux-en-Y choledocho- jejunostomy for benign biliary disease. Surgical Laparoscopy and Endoscopy . 2004
  • 10Lauter DM,,Froines EJ.Laparoscopic common duct exploration in the management of choledocholithiasis. The American Journal of Surgery . 2000

共引文献3

同被引文献37

引证文献6

二级引证文献147

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部