近日，衡阳市中心医院凭借多学科的紧密协作，成功为一位 98 岁高龄的陈奶奶（化名）实施经内镜逆行性胰胆管造影（ERCP）取石术，目前陈奶奶已康复出院，这一成果标志着该院在高龄、高危患者复杂胆道疾病微创诊疗领域达区域领先水平。
据悉，陈奶奶因突发上腹痛 5 天，加重 2 小时入院，被确诊为胆源性中度重症急性胰腺炎、胆总管结石伴胆管炎。她年事已高，还伴有高血压、糖尿病等基础疾病，且出现急性肾损伤和心功能不全，若采用传统开腹手术风险极高。
面对这一复杂病例，医院迅速启动多学科诊疗（MDT）模式，由消化内科内镜中心牵头，联合多科室专家会诊。经全面评估和深入讨论，最终确定 ERCP 介入取石术为最佳治疗方案，并为陈奶奶制定了详尽的围手术期预案。
手术当日，消化内镜中心主任伍友兴在麻醉医师团队全程严密监护下主刀。专家团队技术娴熟，精准操作，顺利将结石取出，解除了胆道梗阻，手术历时约一个半小时，患者术中生命体征平稳，出血量极少。术后，陈奶奶在重症监护室观察一天后返回普通病房，在护理团队精心照护下恢复迅速，腹痛症状消失，精神和食欲明显改善。
陈奶奶对治疗效果十分满意，感激地表示没想到微创就能治好老毛病。伍友兴介绍，ERCP 技术是治疗胆总管结石的首选微创方法，此次成功救治充分体现了微创技术优势和医院多学科协作的强大实力，彰显了医院 “以患者为中心” 的人文关怀与责任担当。（欧阳敏）
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