التفاصيل البيبلوغرافية
| العنوان: |
Early laparoscopic cholecystectomy for acute cholecystitis: Does age matter? |
| المؤلفون: |
Barka, Malek, Jarrar, Mohamed Salah, Ben Abdessalem, Zied, Hamila, Fehmi, Youssef, Sabri |
| المصدر: |
Geriatrics & Gerontology International; Sep2023, Vol. 23 Issue 9, p671-675, 5p |
| مصطلحات موضوعية: |
PERIOPERATIVE care, AGE distribution, LAPAROSCOPIC surgery, CHOLECYSTITIS, RETROSPECTIVE studies, DISEASES, CHOLECYSTECTOMY, TREATMENT effectiveness, BILE duct diseases, COMPARATIVE studies, DESCRIPTIVE statistics |
| مستخلص: |
Aim: Advances in laparoscopic surgery and perioperative care have improved the prognosis of operated patients, especially the oldest among them. This study aimed to assess the outcomes of early laparoscopic cholecystectomy for acute calculous cholecystitis in older adult patients. Methods: A retrospective analysis was carried out of 567 patients who underwent early laparoscopic cholecystectomy for acute calculous cholecystitis between January 2003 and July 2021. The outcomes of older adult patients (≥ 75 years) were compared with those of younger patients. Results: The older adult group had significantly more patients with an American Society of Anesthesiologists score ≥3 (37.5% vs 8.3%; P < 0.001) and more severe acute calculous cholecystitis (grade II; 82.8% vs 67%; P = 0.01). There were no significant differences regarding operative time (90 vs 80 min; P = 0.064), conversion rate (20.3% vs 13.5%; P = 0.144), and both intra‐ and postoperative morbidity, principally bile duct injuries (1.6% vs 0%; P = 0.113) and bile leakage (0% vs 1.2%; P = 1). Conclusion: Early laparoscopic cholecystectomy could be proposed safely for older adult patients with mild and moderate acute cholecystitis. Geriatr Gerontol Int 2023; 23: 671–675. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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