PMID: 8963026Sep 1, 1995Paper

Laparoscopic cholecystectomy in the elderly: analysis of pre-operative risk factors and postoperative complications

Journal of Gastroenterology and Hepatology
K IdoM Kumagai

Abstract

A retrospective study was conducted of two groups of patients over (group 1, n = 57) and under (group 2, n = 655) the age of 70 years who underwent laparoscopic cholecystectomy (LC). The pre-operative physical status and systemic complications, operation time, postoperative complications, postoperative hospital stay and other clinical features of the two groups were compared. The incidence of pre-operative complications in group 1 was significantly higher than that in group 2 (P < 0.05). Postoperatively no severe complication was found in any patient. Group 1 showed significantly prolonged operation time and postoperative hospital stay compared with group 2 (P < 0.05). The difference between the groups in the intra-operative treatment time and postoperative treatment is attributed to the greater prevalence of common bile duct stone in group 1 as there was little difference between the groups in the postoperative recovery after exclusion of these patients. No pulmonary complications, which are associated with LC, were observed; the postprocedure pain was slight and the period of bedrest was short. If complications associated with pneumoperitoneum can be prevented, this surgery is an excellent measure to improve the quality of li...Continue Reading

References

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Citations

Jun 23, 2009·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Hou-Yu Su, Wei-Jei Lee
Jul 30, 1999·Gastrointestinal Endoscopy·C KawamotoK Kimura
Dec 4, 2003·The British Journal of Surgery·J M QuintanaL Perdigo
May 9, 2003·Clinics in Geriatric Medicine·Gerald W Smetana
Nov 27, 2008·Acta Anaesthesiologica Scandinavica·Ravi BainsJ Berg-Johnsen

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