The classification criteria of biliary calculi with infection of biliary tract and choice of the operation mode and ;operation timing for elderly patients

SU Zhi; LIU Tian-qi

doi:10.3969/j.issn.1674-3806.2015.09.01

Abstract：Objective To study the classification criteria of biliary calculi with infection of biliary tract and choice of the operation mode and operation timing for the elderly patients .Methods 106 cases of elderly patients who were suffered from biliary calculi and biliary tract infections and treated in the People′s Hospital of Guangxi Zhuang Autonomous Region from January 2010 to December 2012 , were divided into 3 groups according to our prvi-ous classification criteria:mild acute biliary tract infection in 71 cases ( group A ) , moderately acute severe biliary tract infection in 24 cases(group B), acute severe biliary tract infection in 11 cases(group C).There were no statis-tical differences among the three groups in gender , age, types of stones and the complicated diseases .The operation mode was biliary drainage and biliary lithotomy .Biliary drainage included ENBD , PTCD and common bile duct T-tube.Biliary lithotomy included common bile duct lithotomy bay Laparoscopic or open operation and EST .Results There were significant differences among the three groups in the length of ICU stay , postoperative hospitalization days and total hospitalization days ( P<0.01 ) ,and in the residual stone rate ( P<0.05 ) .No dead cases were found in the three groups after the operation .The amount of intraoperative bleeding and postoperative complication rate were not significantly different among the three groups (P>0.05).Conclusion Our classification criteria of biliary calculi in elderly patients with biliary tract infection are helpful for the choice of operation mode and operation timing for the pa -tients and can improve the elderly patients′clinical efficacy of biliary calculi with biliary tract infections .