Clinical outcome for laparoscopic cholecystectomy in extremely elderly patients

Annals of Surgical Treatment and Research
Sang-Ill LeeNam-Kyu Choi

Abstract

Extremely elderly patients who present with complicated gallstone disease are less likely to undergo definitive treatment. The use of laparoscopic cholecystectomy (LC) in older patients is complicated by comorbid conditions that are concomitant with advanced age and may increase postoperative complications and the frequency of conversion to open surgery. We aimed to evaluate the results of LC in patients (older than 80 years). We retrospectively analyzed 302 patients who underwent LC for acute cholecystitis between January 2011 and December 2013. Total patients were divided into three groups: group 1 patients were younger than 65 years, group 2 patients were between 65 and 79 years, and group 3 patients were older than 80 years. Patient characteristics were compared between the different groups. The conversion rate was significantly higher in group 3 compared to that in the other groups. Hematoma in gallbladder fossa and intraoperative bleeding were higher in group 3, the difference was not significant. Wound infection was not different between the three groups. Operating time and postoperative hospital stay were significantly higher in group 3 compared to those in the other groups. There was no reported bile leakage and operat...Continue Reading

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Citations

Jun 17, 2016·World Journal of Emergency Surgery : WJES·L AnsaloniE E Moore
Oct 25, 2016·International Journal of Surgery·Antonia RizzutoRosario Sacco
Nov 17, 2016·Annals of Surgical Treatment and Research·Minho ShinSeongpyo Mun
Apr 22, 2017·World Journal of Gastroenterology : WJG·Zong-Ming ZhangYue Zhao
Mar 12, 2019·Surgery Research and Practice·Alfredo EscartínJorge-Juan Olsina
Aug 2, 2016·World Journal of Emergency Surgery : WJES·Jakub KenigWojciech Nowak

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