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2007, Number 2

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Rev Mex Cir Endoscop 2007; 8 (2)

Indications, morbidity and results of laparoscopic treatment of cholelithiasis in the elderly people

Sánchez BJ, Gil-Albarellos PS, Moreno de MN, Monsalve LE, García de SCE

Language: Spanish
References: 29
Page: 79-84
PDF size: 83.76 Kb.


ABSTRACT

Background: In the current article we review the indications and analyse the results and complications of laparoscopic cholecystectomy in elderly people. The aim is to determine whether the open procedure (either programmed or emergent surgery) is the elective treatment of cholelithiasis in extremely elderly patients.
Methods: Retrospective study in patients older than 70 years. They underwent laparoscopic cholecystectomy between January 2002 and August 2006. Variables analyzed were presentation, physical condition, anesthetic risk, conversion rate, morbidity and hospital stay. We did a comparison with patients aged under seventy. The Chi-square and Student’s t tests were used for statistical analysis. The level of significance was defined as a p value lower than 0.05.
Results: 146 patients were performed, 90 women (61.6%) and 56 men, mean age 76.9 years. Programmed surgery was attempted in 118 cases (81%) and emergent in 28 cases. The conversion rate to open cholecystectomy was 10.2% and the average hospital stay was 3.4 days. Six patients required re-intervention and two patients died.
Conclusions: Laparoscopic cholecystectomy is elective treatment for symptomatic cholelithiasis in octogenarian people. The management of acute cholecystitis in the extremely elderly should be considered for laparoscopic approach (except contraindication) before the development of complications.


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