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Chinese Journal of Hepatic Surgery(Electronic Edition) ›› 2024, Vol. 13 ›› Issue (06): 754-762. doi: 10.3877/cma.j.issn.2095-3232.2024993

• Editorials • Previous Articles    

Controversy and reflection on hot issues of biliary surgery in elderly patients

Zongming Zhang1,2,(), Jiahong Dong3, Xiaodong He4, Qiusheng Wang5, Zhi Xu6, Limin Liu1,2, Chong Zhang1,2   

  1. 1.Department of General Surgery,Beijing Electric Power Hospital of State Grid Corporation of China,Beijing 100073,China
    2.Key Laboratory of Geriatrics (Hepatobiliary Diseases) of GENERTEC (in preparation),Beijing 100073,China
    3.Hepatobiliary and Pancreatic Center,Beijing Tsinghua Changgung Hospital Affiliated to Tsinghua University,Beijing 102218,China
    4.Department of General Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China
    5.Department of General Surgery,Peking University People's Hospital,Beijing 100044,China
    6.Department of General Surgery,Peking University Third Hospital,Beijing 100191,China
  • Received:2024-05-08 Online:2024-12-10 Published:2024-11-22
  • Contact: Zongming Zhang

Abstract:

With China's entry into a deeply aging society,the incidence of biliary diseases in the elderly population has been increased significantly. In terms of the clinical characteristics of biliary diseases in elderly patients,such as rapid disease progression,multiple preoperative complications,poor surgical tolerance,high surgical risk and multiple postoperative complications,the hot controversial issues of biliary diseases in elderly patients were analyzed and elucidated from three perspectives including broadening the indications of laparoscopic surgery,urgently standardizing minimally invasive surgery,and improving the technologies of precision hepatobiliary surgery,aiming to fully understand the academic controversies of biliary diseases in elderly patients,actively utilize positive factors,effectively avoid negative factors,thereby enhancing therapeutic effect and bringing benefits to elderly patients with biliary diseases.

Key words: Elderly, Biliary surgery, Laparoscopic surgery, Minimally invasive surgery, Precise hepatobiliary surgical technology, visualization, printing, Mixed reality, Indocyanine green fluorescence imaging

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