Experience in laparoscopic transcystic common bile duct exploration for super-elderly patients with choledocholithiasis—A 96-year-old case report

• DOI: 10.1016/j.heliyon.2024.e41204
• Publication Date: 2024-12-13T00:31:14Z
• Authors: Zongming Zhang; Limin Liu; Chong Zhang; Zhuo Liu; Yue Zhao; Hui Qi; Haiyan Yang; Baijiang Wan; Mingwen Zhu; Hai Deng; Jinqiu Feng; Fucheng Liu; Zhentian Guo; Peijie Yao
• Keywords: Social sciences (General); H1-99; Q1-390; Science (General); ACC (acute calculous cholecystitis); LTCBDE (laparoscopic transcystic common bile duct exploration); Case Report; Super-elderly patients; CBDS (common bile duct stone); CBD (common bile duct)

BACKGROUND: Super-elderly patients with choledocholithiasis are considered to be at high risk for undergoing surgery. While laparoscopic transcystic common bile duct exploration (LTCBDE) is regarded as a challenging procedure for super-elderly patients with choledocholithiasis, there have been no reported cases of its use in super-elderly patients over the age of 96. CASE SUMMARY: This case study presents the case of a 96-year-old female patient with acute calculous cholecystitis and choledocholithiasis. Despite the presence of multiple high-risk comorbidities, the patient underwent with laparoscopic cholecystectomy (LC) plus LTCBDE, with appropriate perioperative safety measures in place, and made a full recovery, being discharged from the hospital on the seventh day following the operation. CONCLUSION: The case study demonstrates the successful treatment of a 96-year-old patient with choledocholithiasis via LTCBDE, utilising skilled laparoscopic and choledochoscopic techniques along with robust perioperative safety measures. This achievement sets a historical precedent for the successful treatment of a 96-year-old patient with choledocholithiasis via LTCBDE, both domestically and internationally.