【Abstract】 ObjectiveTo explore the efficacy of fast track surgery (FTS) applicated to endoscopic surgery in the elderly patients with choledocholithiasis. MethodsSixty elderly patients with choledocholithiasis planning to received endoscopic lithotomy were enrolled, and were randomly divided into the traditional group and FTS group,with 30 cases in each group. The operative condition, postoperative complications and recovery were compared between the two groups. ResultsNo abdominal cavity and digestive tract hemorrhage, enterobrosis and death occurred in both groups. There were no significant differences in the postoperative symptoms and signs, postoperative complications, blood WBC and amylase levels after 24 hour of operation, postoperative hospital stay and hospitalization cost between the two groups（P＞0.05）. The duration for postoperative abrosia and total infusion volume within 72 hours after operation in the FTS group were less than those in the traditional group (P＜0.05). ConclusionApplication of FTS to endoscopic surgery in elderly patients with choledocholithiasis is safe and effective, can shorten the duration for postoperative abrosia and fasten the patients′ recovery.

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