Laparoscopic Cholecystectomy Results In Patients With Different Age Groups
Journal Title: Journal of Clinical and Analytical Medicine - Year 2011, Vol 2, Issue 3
Abstract
Aim Laparoscopic cholecystectomy (LC) has been most preferable method for benign gallbladder disease. Advanced age may be increased morbidity and mortality. The aim of this study was to compare the results of LC in patients according to different ages (age ≤ 30, 31 – 64 years, and age ≥ 65). Material and Methods A retrospective analysis was performed including overall 511 patients who underwent LC for benign disease of gallbladder at Ondokuzmayis University Medical Faculty and Mustafa Kemal University, Medical Faculty between November 2001 and November 2009. The patients are divided into three groups according to ages: Group A (age ≤ 30 years, n = 47), Group B (age = 31 – 64 years, n = 368), Group C (age ≥ 65, n = 96). Results Symptomatic cholelithiasis was the most common indication for LC in all the groups (p > 0.05). Co-morbid diseases were significantly higher in the Group C (≥ 65 years) than in the Group A and B (≤ 30 years, 31 - 64 years) (p=0.001). Co-incidental biliary pathologies, and history of abdominal operation were similar in all the groups. However biliary duct and cystic artery anomalies were significantly more common in the Group A than in the Group B and C (p=0.001). Conversion to OC was required in 26 (5.08 %) patients in this study. The major reason for the (21 cases, 80.76 %) was difficult dissection of the Calot’s triangle. There was no difference in morbidity among the groups (p>0.05). Conclusions As a conclusion, it’s thought that biliary anomalies in young patients and co-morbid diseases disorders in elderly patients are more common. These factors do not affect the results of patient that preoperatively well evaluated. However surgeon should be aware of this condition and be careful for intraoperative and postoperative complication.
Authors and Affiliations
İbrahim Yetim, Adem Dervişoğlu, Oktay Karaköse, Yalçın Büyükkarabacak, Yüksel Bek, Kenan Erzurumlu
Keywords
Related Articles
- EP ID EP114166
- DOI 10.4328/JCAM.403
- Views 147
- Downloads 0
Burun İçi Kitlelerde Histopatolojik Sonuçlarımız; 6 Yıllık Retrospektif Çalışma
Amaç: Bu çalışmada kliniğimizdeki burun içi kitleler ile ilgili patolojik ve klinik verilerin sunulması ve dağılım yüzdelerinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Çalışma Üniversite Tıp Fakültesi Kulak...
The Quantity and Course Of Paraumbilical Veins in Adults, and Their Topographic Relation with the Umbilical Vein (Ligamentum Teres Hepatis)
Aim The paraumbilical veins surrounding umbilical vein and running within falciform ligament is of the following three types: Burows veins, Sappeys superior and inferior group veins. Sappey’s veins are referred to as acc...
Böbrek Adenokarsinomu ve Benign Prostat Hipertrofisi ile İlişkili Leser-Trelat Sendromu
Leser-Trelat yaygın seboreik keratozlarla ilişkili, genelde altta yatan gizli içorgan kanserinin deri bulgularından birisi olarak bilinmektedir. Klinisyen açısından önemli bir ipucu olan bu bulgunun fark edildiğinde yapı...
Flap Lymphedema after Successful Reconstruction of the Chronic Inguinal Wound with a Vertical Rectus Abdominis Flap (VRAM)
The reconstruction of extensive and complex wounds represents a challenging problem for reconstructive surgeon. The reconstructive options to provide coverage following debridment of these complicated wounds are...
Yaşlı İleri Evre Küçük Hücreli Dışı Akciğer Kanserli Hastalarda Paklitaksel ve Karboplatin
Amaç: Bu çalışmada, ileri evre yaşlı küçük hücreli dışı akciğer kanseri (KHDAK) hastalarında, paklitaksel ve karboplatin (PK) rejiminin etkinliği ve tolerabilitesi araştırıldı. Gereç ve Yöntem: Evre IIIB (n=11) veya IV...