Chen Jiao Cover news reporter Ning Zhi
Stones are a common disease, but they occur in the elderly with hemiplegia, and the difficulty coefficient of treatment options is much greater.
Recently, the 69-year-old hemiplegic man successfully completed stone surgery in the First Affiliated Hospital of Chengdu Medical College. According to reports, the old man was taken to the local hospital by his family for abdominal pain, was diagnosed with common bile duct stones, gallbladder stones with cholecystitis, and after comprehensive consideration, was transferred to the Department of Hepatobiliary and Pancreatic Surgery of the First Affiliated Hospital of Chengdu Medical College for follow-up treatment.
Due to the complex condition of the elderly, the hepatobiliary and pancreatic surgery department of the hospital organized a multidisciplinary consultation including neurology, neurosurgery, anesthesia and intensive care medicine for the elderly for the first time, further clarified the symptoms and diagnosis, and unanimously agreed that the treatment plan of the four minimally invasive treatment of common bile duct stones routinely carried out by hepatobiliary and pancreatic surgery is not applicable to the elderly.
Professor Yang Hongqiang, director of the Department of Hepatobiliary and Pancreatic Surgery of the hospital, said: "No matter what surgical method and anesthesia method is used, epilepsy may be induced, so it is necessary to complete the operation decisively and quickly, and the operation and anesthesia time need to be shortened as much as possible. After fully assessing the patient's condition and summarizing the consultation opinions, we believe that laparoscopic transchosal cholangiole lithotripsy + cholecystectomy is the best treatment option for the elderly. ”
In the end, after sufficient preoperative preparation and anesthesia assessment, Professor Yang Hongqiang's team successfully completed the operation in only 2 hours after careful operation. After the operation, the hepatobiliary and pancreatic surgery medical team actively carried out bedside education, multi-mode analgesia, diet and activity guidance in the accelerated rehabilitation surgery to help patients accelerate recovery. On the first day after the operation, the elderly can get out of bed and move, and on the second day after the operation, they can eat and drink normally, and after the fourth day after the operation, they can successfully recover and be discharged from the hospital.