Laparoscopic cholecystectomy in elderly patients

被引:1
作者
Osman, Yildirim [1 ]
Ebru, Menekse [1 ]
Umit, Turan [1 ]
Volkan, Oter [1 ]
Melih, Karabeyoglu [1 ]
Belma, Kocer [1 ]
Betul, Bozkurt [1 ]
Omer, Cengiz [1 ]
Atilla, Soran [2 ]
机构
[1] Ankara Numune Training & Res Hosp, Ankara, Turkey
[2] UPMC, Magee Womens Hosp, Dept Surg, Ankara, Turkey
来源
BRATISLAVA MEDICAL JOURNAL-BRATISLAVSKE LEKARSKE LISTY | 2008年 / 109卷 / 07期
关键词
laparoscopic cholecystectomy; elderly patients;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aim: In this study, we hypothesize that LC is a safe procedure in a non-laparoscopic specialized general surgery unit in a teaching hospital. Patients and methods: We evaluated retrospectively the data of 286 patients that had symptomatic cholelithiasis and were operated on with LC. Results and conclusion: Fifty-four (18.9%) male and 232 (81.1%) female patients underwent LC. Morbidity in patients over 75 years was higher than in patients under 75 years. Mean hospitalization time was 1.5 days. LC is as safe in young patients as in patients at age ranging from 65 to 75 at a general surgery setting at a teaching facility. Although postoperative morbidity risk is higher in patients over the age of 75 years and diagnosed with symptomatic cholelithiasis, the main reason for increased morbidity is having an ASA score greater or equal to 3, and it is independent from age. In conclusion, LC can be performed in patients older than 75 years of age after giving them proper treatment for comorbidities (Tab. 1, Ref. 12).
引用
收藏
页码:313 / 316
页数:4
相关论文
共 12 条
[1]  
Annamaneni R K, 2005, JSLS, V9, P408
[2]   Laparoscopic cholecystectomy for elderly patients - Gold standard for golden years [J].
Bingener, J ;
Richards, ML ;
Schwesinger, WH ;
Strodel, WE ;
Sirinek, KR .
ARCHIVES OF SURGERY, 2003, 138 (05) :531-535
[3]  
Chau C. H., 2002, Hong Kong Medical Journal, V8, P394
[4]  
CHENG SP, 2007, SURG ENDOSC, P30
[5]  
Coenye KE, 2005, HEPATO-GASTROENTEROL, V52, P17
[6]  
do Amaral Paulo Cezar Galvao, 2006, JSLS, V10, P479
[7]   The dramatic reality of biliary tract injury during laparoscopic cholecystectomy - An anonymous multicenter Belgian survey of 65 patients [J].
Gigot, JF ;
Etienne, J ;
Aerts, R ;
Wibin, E ;
Dallemagne, B ;
Deweer, F ;
Fortunati, D ;
Legrand, M ;
Vereecken, L ;
Doumont, JM ;
VanReepinghen, P ;
Beguin, C .
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1997, 11 (12) :1171-1178
[8]  
LARA FJP, REV ESP ENFERM DIG, V98, P42
[9]   Complications of laparoscopic cholecystectomy in the ageing patient [J].
Mayol, J ;
MartinezSarmiento, J ;
Tamayo, FJ ;
FernandezRepresa, JA .
AGE AND AGEING, 1997, 26 (02) :77-81
[10]   CHOLECYSTECTOMY - THE GOLD STANDARD [J].
MCSHERRY, CK .
AMERICAN JOURNAL OF SURGERY, 1989, 158 (03) :174-178