Publications by authors named "Baijiang Wan"
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.
Rationale: Pancreatic mixed serous neuroendocrine neoplasm (PMSNN) is an extremely rare disease. Only a few cases on the surgical treatment of PMSNN have been reported in the literature, and it is unclear whether there is invasion of important peripancreatic vessels.
Patient Concerns: We report the case of a 39-year-old female patient with PMSNN accompanied by invasion of important peripancreatic vessels.
Background: Major adverse cardiac events (MACE) in elderly patients with biliary diseases are the main cause of perioperative accidental death, but no widely recognized quantitative monitoring index of perioperative cardiac function so far.
Aim: To investigate the critical values of monitoring indexes for perioperative MACE in elderly patients with biliary diseases.
Methods: The clinical data of 208 elderly patients with biliary diseases in our hospital from May 2016 to April 2021 were retrospectively analysed.
To explore the protective and therapeutic measures of improving perioperative safety in extremely elderly patients with biliary diseases, so as to improve the therapeutic efficacy of surgery. A retrospective case–control study of 412 elderly patients with biliary diseases was carried out from July 2013 to July 2019. Seventy eight cases were divided into the high age (HA) group (≥80 years) and 334 into the middle–low age (MLA) group (60–79 years).
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- The global pandemic poses challenges for emergency surgeries in elderly patients with high-risk acute abdominal conditions like acute gangrenous cholecystitis.
- An 89-year-old male with multiple health issues underwent successful emergency laparoscopic cholecystectomy and recovered well despite the risks posed by his age and medical history.
- Successful emergency surgeries during the pandemic require strict adherence to hospital safety protocols and meticulous preparation and management throughout the process.
Introduction: For patients with refractory secondary hyperparathyroidism (SHPT), parathyroidectomy (PTX) has received increasing attention. However, evidence-based medicine shows that there is still controversy regarding surgical methods, efficacy, and safety. We retrospectively analyzed the process of diagnosis and treatment in one patient with severe SHPT and long-term chronic renal failure (CRF), so as to further improve the therapeutic effect.
View Article and Find Full Text PDFCholelithiasis is a kind of common and multiple diseases. In recent years, traditional laparotomy has been challenged by a minimally invasive surgery. Through literature review, the therapeutic method, effect, and complications of minimally invasive treatment of intrahepatic and extrahepatic bile duct stones by combining our practical experience were summarized as follows.
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- A 48-year-old woman experienced abdominal pain, diarrhea, and difficulties with bowel movements for over a year, leading to multiple hospital visits and an initial misdiagnosis of inflammatory bowel disease.
- Advanced imaging techniques and a discovery regarding her use of a drug, Qingdai pill, revealed that she actually suffered from ischemic or toxic bowel disease with stenosis in the sigmoid colon.
- After undergoing laparoscopic sigmoid colectomy, her symptoms were resolved, and the case emphasizes the importance of recognizing drug-induced conditions to prevent misdiagnosis, as well as the role of certain medical procedures in accurately diagnosing bowel issues.
Therapeutic experience of 289 elderly patients with biliary diseases.
World J Gastroenterol
April 2017
Aim: To present clinical characteristics, diagnosis and treatment strategies in elderly patients with biliary diseases.
Methods: A total of 289 elderly patients with biliary diseases were enrolled in this study. The clinical data relating to these patients were collected in our hospital from June 2013 to May 2016.