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Therapeutic experience of an 89-year-old high-risk patient with incarcerated cholecystolithiasis:A case report and literature review

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World Journal of Clinical Cases 2020年第20期8卷 4908-4916页

作者： Zong-Ming Zhang Chong Zhang Zhuo Liu Li-Min Liu Ming-Wen Zhu Yue Zhao Bai-Jiang Wan Hai Deng Hai-Yan Yang Jia-Hong Liao Hong-Yan Zhu Xue Wen Li-Li Liu Man Wang Xiao-Ting Ma Miao-MiaoZhang Jiao-Jiao Liu Tian-Tian Liu Niu-Niu Huang Pei-Ying Yuan Yu-Jiao Gao Jing Zhao Xi-Ai Guo FangLiao Feng-Yuan Li Xue-Ting Wang Rui-Jiao Yuan Fang Wu Department of General Surgery Beijing Electric Power HospitalState Grid Corporation of ChinaCapital Medical UniversityBeijing 100073China Department of Pathology Beijing Electric Power HospitalState Grid Corporation of ChinaCapital Medical UniversityBeijing 100073China

BACKGROUND The global pandemic of coronavirus disease 2019 pneumonia poses a particular challenge to the emergency surgical treatment of elderly patients with high-risk acute abdominal *** patients are a high-risk group for surgical *** the incarceration of gallstones cannot be relieved,emergency surgery is *** SUMMARY We report an 89-year-old male patient with acute gangrenous cholecystitis and septic shock induced by incarcerated *** had several coexisting,high-risk underlying diseases,had a history of radical gastrectomy for gastric cancer,and was taking aspirin before the ***,he underwent emergency laparoscopic cholecystectomy,with maintenance of postoperative heart and lung function,successfully recovered,and was discharged on day 8 after the *** Emergency surgery for elderly patients with acute abdominal disease is safe and feasible during the coronavirus disease 2019 pandemic,the key is to abide strictly by the hospital's epidemic prevention regulations,fully implement the epidemic prevention procedure for emergency surgery,fully prepare before the operation,accurately perform the operation,and carefully manage the patient postoperatively.

关键词： Extremely elderly patient Cholecystolithiasis incarceration acute gangrenous cholecystitis acute abdominal diseases COVID-19 Case report

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