Article ; Online: Safety and feasibility of cholecystectomy in octogenarians. Analysis of a single center series of 316 patients.
HPB : the official journal of the International Hepato Pancreato Biliary Association
2019 Volume 21, Issue 11, Page(s) 1570–1576
Abstract: Introduction: Cholecystectomy is the treatment of choice for symptomatic cholelithiasis. However, outcomes for patients over 80years of age are not well studied. The primary aim of this study was to describe the safety and feasibility of cholecystectomy, ...
| Abstract | Introduction: Cholecystectomy is the treatment of choice for symptomatic cholelithiasis. However, outcomes for patients over 80years of age are not well studied. The primary aim of this study was to describe the safety and feasibility of cholecystectomy, including in the acute setting, in a cohort of patients≥80 years of age. Material and methods: A retrospective study of patients aged≥80 years submitted to cholecystectomy at a single institution from January 2013 to January 2018 was performed. Severity of acute cholecystitis was graded according to the updated Tokyo Guidelines 18. Early cholecystectomy was defined as being performed within the first 48h after admission and delayed when performed beyond 48h of the admission. Results: In total 316 patients underwent cholecystectomy. The indication was acute cholecystitis in 113 (36%) patients. Of the 316 patients 289 (92%) were attempted laparoscopically and 30 (10%) were converted to open. Major complications occurred in 44 patients (14%) and mortality rate was 4%. No bile duct injuries were observed. For those patients with mild or moderate acute cholecystitis (n = 103), there was no differences in outcomes when comparing early vs delayed surgery. Conclusion: Cholecystectomy in patients≥80 years of age is safe and feasible. Outcomes did not differ between early and delayed surgery for mild/moderate acute cholecystitis. |
|||||
|---|---|---|---|---|---|---|
| MeSH term(s) | Age Factors ; Aged, 80 and over ; Cholecystectomy/standards ; Cholecystitis, Acute/diagnostic imaging ; Cholecystitis, Acute/surgery ; Female ; Humans ; Male ; Patient Safety ; Retrospective Studies ; Severity of Illness Index | |||||
| Language | English | |||||
| Publishing date | 2019-04-20 | |||||
| Publishing country | England | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 2131251-5 | |||||
| ISSN | 1477-2574 ; 1365-182X | |||||
| ISSN (online) | 1477-2574 | |||||
| ISSN | 1365-182X | |||||
| DOI | 10.1016/j.hpb.2019.03.373 | |||||
| Shelf mark |
|
|||||
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
| Zs.A 6326: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.