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

• Published in: World journal of clinical cases Vol. 8; no. 20; pp. 4908 - 4916
• Main Authors: Zhang, Zong-Ming, Zhang, Chong, Liu, Zhuo, Liu, Li-Min, Zhu, Ming-Wen, Zhao, Yue, Wan, Bai-Jiang, Deng, Hai, Yang, Hai-Yan, Liao, Jia-Hong, Zhu, Hong-Yan, Wen, Xue, Liu, Li-Li, Wang, Man, Ma, Xiao-Ting, Zhang, Miao-Miao, Liu, Jiao-Jiao, Liu, Tian-Tian, Huang, Niu-Niu, Yuan, Pei-Ying, Gao, Yu-Jiao, Zhao, Jing, Guo, Xi-Ai, Liao, Fang, Li, Feng-Yuan, Wang, Xue-Ting, Yuan, Rui-Jiao, Wu, Fang
• Format: Report
• Language: English
• Published: 26.10.2020
• ISSN: 2307-8960; 2307-8960
• DOI: 10.12998/wjcc.v8.i20.4908

BACKGROUNDThe global pandemic of coronavirus disease 2019 pneumonia poses a particular challenge to the emergency surgical treatment of elderly patients with high-risk acute abdominal diseases. Elderly patients are a high-risk group for surgical treatment. If the incarceration of gallstones cannot be relieved, emergency surgery is unavoidable. CASE SUMMARYWe report an 89-year-old male patient with acute gangrenous cholecystitis and septic shock induced by incarcerated cholecystolithiasis. He had several coexisting, high-risk underlying diseases, had a history of radical gastrectomy for gastric cancer, and was taking aspirin before the operation. Nevertheless, he underwent emergency laparoscopic cholecystectomy, with maintenance of postoperative heart and lung function, successfully recovered, and was discharged on day 8 after the operation. CONCLUSIONEmergency 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.