Laparoscopic cholecystectomy in the elderly - A prospective study

被引：0

作者：

Pessaux, P ^{[1
]}

Tuech, JJ ^{[1
]}

Derouet, N ^{[1
]}

Rouge, C ^{[1
]}

Regenet, N ^{[1
]}

Arnaud, JP ^{[1
]}

机构：

[1] CHU Angers, Dept Visceral Surg, F-49033 Angers 01, France

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 2000年 / 14卷 / 11期

关键词：

elderly; high-risk patients; laparoscopic cholecystectomy;

D O I：

暂无

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: The aim of this prospective study was to determine the feasability and the complications or benefits of laparoscopic cholecystectomy (LC) in the patients older than 75 years. Methods: From January 1992 to July 1998, a total of 863 patients underwent LC, of these patients, 102 patients older than 75 years (group 1) were compared with 761 younger patients (group 2). Results: In the elderly, 35.3% were at high surgical risk (American Society of Anesthesiology [ASA] III and ASA TV). The conversion rate to open cholecystectomy (OC) was 21.6%. The mean length of hospital stay was 6.9 days for both laparoscopy and conversion. Morbidity and mortality rates were 13.7% and 1%, respectively. No patient suffered intraoperative cardiopulmonary complication, and there was no reoperation in the elderly. Conclusions: Elderly patients experience more complications and longer duration of hospital stay than younger patients. However, our results compare favorably with other OC studies in elderly patients.

引用

页码：1067 / 1069

页数：3

共 20 条

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