Outcomes of Laparoscopic Cholecystectomy in Patients 65 Years and Older
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 13, Issue 11
Abstract
Aim: Laparoscopic surgery is considered to be the gold standard in gall bladder surgery and to take advantage of its benefits, the number of laparoscopic procedures carried out on elderly patients is increasing daily. The aim of this study was to determine the mortality and morbidity rates of laparoscopic cholecystectomy (LC) in a patient group over 65 years of age and to analyze the predictive factors for conversion to open surgery. Study Design: A retrospective analysis of patients, 65 years of age and over, who had undergone laparoscopic cholecystectomy operation. Place and Duration of Study: Tepecik Training and Research Hospital, Department of General Surgery, Izmir, Turkey between January 2012 and June 2014 in our clinic was conducted. Methodology: A retrospective analysis of 385 patients, 65 years of age and over, who had undergone cholecystectomy operation When excluding the patients who had open cholecystectomy or additional surgical procedures, 240 patients were included in the study. The patients were also divided into two age groups (65-74 years; 75+ years) for further analysis. Results: The median age of the patients was 70. The rate of conversion from laparoscopy to open surgery was 12.5% (n=30). Multivariate analysis showed the leukocytosis and pathological acute cholecystitis to be independent risk factors for conversion. A longer total hospital stay was seen in patients with inflammatory bile duct diseases (5±4 days - 3±2 days). The surgical morbidity rate was 19.6% (n= 47); the rate of systemic complication was 2.5% (n=6). Conclusion: Inflammation related to gallstones in the biliary system is a definite risk factor for conversion to open surgery. Laparoscopic cholecystectomy, with its acceptable rates of morbidity, mortality and conversion, is a reliable surgical procedure in the 65 and over age group.
Authors and Affiliations
Cem Tugmen, Ismail Sert, Eyup Kebabci, Bulent Calik, Sait Murat Dogan, Mustafa Olmez, Cengiz Aydın, Cezmi Karaca
Keywords
Related Articles
- EP ID EP340782
- DOI 10.9734/BJMMR/2016/23958
- Views 59
- Downloads 0
The Effects of Adding Intrathecal Midazolam to Bupivacaine in Spinal Anesthesia
Aim: To study of intrathecal bupivacaine with and without midazolam to assess its effect on the onset, duration of sensory and motor block in lower limb surgery. Place and Duration of Study: Fatemi Hospital, Ardebil Uni...
Levels of Zinc and Copper in Seminal Plasma of Sudanese Infertile Males
Background: Human semen contains high concentrations of zinc (Zn) and copper (Cu). The presence of abnormal levels of these trace elements may affect sperm production, maturation, motility and fertilizing ability. Object...
The Behind the Knee (BTK) as an Innovative Test Model for Mechanical and Chemical Irritation, Lotion and Dye Transfer and Testing on Compromised Skin
Aims: The aim of this manuscript is to present innovative applications of the BTK model that can potentially contribute additional aspects of safety evaluations for a broader range of products and materials intended for...
Polymorphisms in Interleukin-2 and Interleukin-7 Receptor α-Chain Genes and Human Herpes Virus-6 as Risk Factors for Multiple Sclerosis
Aim: The aim of this study was to examine whether a Human herpes virus-6 (HHV-6) infection increases the risk of MS in individuals harboring particular cytokine receptor α-chain gene alleles. Study Design: MS patients an...
Long-term Weight Changes and Subsequent Hypercholesterolemia in Chinese Population
Aims: To explore the relationship between long-term body weight changes and hypercholes-terolemia in middle aged Chinese population. Study Design: Population based cross-sectional study. Place and Duration of Study: Depa...