Role of fundus-first laparoscopic cholecystectomy in the management of acute cholecystitis in elderly patients

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Yu-Chun WangRay-Jade Chen

Abstract

Conversion from laparoscopic cholecystectomy to open cholecystectomy leads to the loss of the advantages of this minimally invasive procedure and significantly increases length of hospital stay as well as cost. The conversion from laparoscopic to open cholecystectomy is more frequent among patients with acute cholecystitis and in elderly patients. This study evaluated whether fundus-first laparoscopic cholecystectomy could lower the conversion rate in geriatric patients with acute cholecystitis. During a twelve-month period, 112 patients (36 of them age 65 years or older) underwent fundus-first laparoscopic cholecystectomy for acute cholecystitis in a tertiary care university hospital in central Taiwan. The conversion rate in the elderly patients was 2.7% (1/36). No major perioperative complications were observed. Minor complications--port-site infection and subhepatic fluid collection-occurred in two patients (5.5%). Laparoscopic cholecystectomy with a fundus-first approach is a safe, effective operative procedure for elderly patients with acute cholecystitis when performed by an experienced laparoendoscopic surgeon.

References

Mar 1, 1983·The British Journal of Surgery·S NorrbyC Tagesson
Apr 1, 1980·Annals of Surgery·H J Järvinen, J Hästbacka
Feb 1, 1995·Surgical Endoscopy·I G MartinM J McMahon
Nov 1, 1994·The British Journal of Surgery·C K KumS S Ngoi
Feb 10, 1994·The New England Journal of Medicine·C A SteinerE P Steinberg
Aug 1, 1993·Annals of Surgery·J J RoslynJ A Cates
Oct 1, 1996·World Journal of Surgery·C M LoJ Wong
Mar 15, 2001·American Journal of Surgery·F A HabibV K Mittal
May 1, 2001·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·P K RajL Urban
Aug 22, 2001·American Journal of Surgery·N A KamaM Dolapci
Apr 19, 2002·Surgical Endoscopy·K PrakashH Ramesh
Apr 25, 2002·Surgical Endoscopy·S MahmudA H M Nassar
Dec 19, 2002·American Journal of Surgery·Jeffrey S BenderThomas H Magnuson
Jun 12, 2004·American Journal of Surgery·James Majeski

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Citations

Feb 13, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Massimiliano TuveriAngelo Nicolosi
Feb 13, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Theodoros E PavlidisAthanasios K Sakantamis
Dec 17, 2009·BMC Surgery·Michael D Kelly
Jun 26, 2012·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·F KöckerlingD A Jacob
Jun 23, 2009·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Hou-Yu Su, Wei-Jei Lee
May 12, 2017·Open Forum Infectious Diseases·David K WarrenMargaret A Olsen
May 15, 2020·Annals of Surgery·L Michael BruntUNKNOWN and the Prevention of Bile Duct Injury Consensus Work Group
May 14, 2020·Surgical Endoscopy·L Michael BruntUNKNOWN Prevention of Bile Duct Injury Consensus Work Group
Jun 12, 2021·World Journal of Emergency Surgery : WJES·Nicola de'AngelisDaniele Sommacale

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