Current Status of Surgical Treatment of Biliary Diseases in Elderly Patients in China

作者：Zongming Zhang, Jiahong Dong, Fangcai Lin, Qiusheng Wang, Zhi Xu, Xiaodong He, Chong Zhang, Zhuo Liu, Limin Liu, Hai Deng, Hongwei Yu, Bai-Jiang Wan, Ming-Wen Zhu, Haiyan Yang, Mengmeng Song, Yue Zhao · 发表于：Chinese Medical Journal · 年份：2018 · DOI：10.4103/0366-6999.237405 · 被引用次数：8 · 研究领域：Gallbladder and Bile Duct Disorders、Cholangiocarcinoma and Gallbladder Cancer Studies、Pancreatic and Hepatic Oncology Research

To the Editor: According to the Chinese National Bureau of Statistics in October 1999, the population aged ≥60 years reached 10% of the total population, indicating that China was entering into an aging society. By the end of 2017, the population aged ≥60 years was 240,900,000, accounting for 17.3% of the total population. With the rapidly aging population, biliary diseases in elderly patients have become frequent in China, with a morbidity rate of 8–11%. Due to lowered stress response, defense ability, and immunity, biliary diseases in elderly patients are characterized by an increase in coexisting diseases, rapid progression, poor surgical tolerance, high surgical risk, frequent postoperative complications, and high mortality. Thus, it is important to explore effective treatment methods in elderly patients with biliary diseases. Based on our clinical experience in the treatment of elderly patients with biliary diseases,[1] along with previous studies, this report presented the current status of surgical treatment of elderly patients with biliary diseases in China.[2] With the rapid advance of biomedical science and information technology, precision hepatobiliary surgery has developed with new concepts and techniques to achieve complete resection of the lesion while maintaining the structural integrity of the residual hepatobiliary system and maximum hepatic functional volume and to control intraoperative bleeding and systemic traumatic invasion, thus leading to an optimal o...