Endoscopic treatment of choledocholithiasis in patients over 80 years old

Kabanov M.Yu.; Glushkov N.I.; Sementsov K.V.; Degterev D.B.; Savchenkov D.K.; Koshelev T.E.; Fokina A.A.; Bryzgalov D.K.

doi:https://doi.org/10.17116/hirurgia202110145

Kabanov M.Yu.

Hospital for War Veterans;
Mechnikov North-Western State Medical University

Glushkov N.I.

Mechnikov North-Western State Medical University

ORCID: 0000-0001-8146-4728

Sementsov K.V.

Hospital for War Veterans;
Mechnikov North-Western State Medical University

Degterev D.B.

St. Petersburg Hospital for War Veterans

Savchenkov D.K.

Mechnikov North-Western State Medical University;
St. Petersburg Hospital for War Veterans

Koshelev T.E.

Mechnikov North-Western State Medical University

Fokina A.A.

Mechnikov North-Western State Medical University

Bryzgalov D.K.

Mechnikov North-Western State Medical University

Endoscopic treatment of choledocholithiasis in patients over 80 years old

Authors:

Kabanov M.Yu., Glushkov N.I., Sementsov K.V., Degterev D.B., Savchenkov D.K., Koshelev T.E., Fokina A.A., Bryzgalov D.K.

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Journal: Pirogov Russian Journal of Surgery. 2021;(10): 45‑51

DOI: 10.17116/hirurgia202110145

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To cite this article:

Kabanov MYu, Glushkov NI, Sementsov KV, et al. . Endoscopic treatment of choledocholithiasis in patients over 80 years old. Pirogov Russian Journal of Surgery. 2021;(10):45‑51. (In Russ.)
https://doi.org/10.17116/hirurgia202110145

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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OBJECTIVE

To analyze endoscopic treatment of choledocholithiasis in patients over 80 years old.

MATERIAL AND METHODS

A single-center retrospective study included 90 consecutive patients aged ≥80 years and 58 patients aged 60—79 years. Early outcomes including efficacy of calculus removal, incidence of complications and their risk factors were evaluated.

RESULTS

In 75 patients aged ≥80 years (83.3%), endoscopic treatment was effective definitive single procedure. Between-group differences were insignificant (p=0.163). Patients aged ≥80 years were characterized by higher percentage of ASA classes 2—4 (p<0.001), age-adjusted mean Charlson comorbidity index (p=0.004), and ≥2 calculi (64.4% vs. 32.8%, p<0.001). Postoperative morbidity was similar (7.8% vs. 6.9%, p=0.842). Multivariate logistic regression analysis of potential risk factors did not reveal significant correlations: Chi-square test was 14.94 at 15 degrees of freedom (p=0.463).

CONCLUSION

Similar postoperative morbidity determines safety of endoscopic lithoextraction in patients aged over 80 years. We should emphasize higher percentage of advanced age patients with «difficult» choledocholithiasis that requires appropriate training of specialists, adequate equipment of hospitals and routing of patients.

Keywords:

endoscopic retrograde cholangiopancreatography

ERCP

«difficult» choledocholithiasis

elderly patient

comorbidity

Authors:

Kabanov M.Yu.

Hospital for War Veterans;
Mechnikov North-Western State Medical University

Glushkov N.I.

Mechnikov North-Western State Medical University

ORCID: 0000-0001-8146-4728

Sementsov K.V.

Hospital for War Veterans;
Mechnikov North-Western State Medical University

Degterev D.B.

St. Petersburg Hospital for War Veterans

Savchenkov D.K.

Mechnikov North-Western State Medical University;
St. Petersburg Hospital for War Veterans

Koshelev T.E.

Mechnikov North-Western State Medical University

Fokina A.A.

Mechnikov North-Western State Medical University

Bryzgalov D.K.

Mechnikov North-Western State Medical University

Received:

12.12.2020

Accepted:

28.01.2021

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