Hirosaki Medical Journal
Online ISSN : 2434-4656
Print ISSN : 0439-1721
Original Article
Clinical outcomes and safety of laparoscopic cholecystectomy in patients 80 years of age or older
Satoru TsurutaYoshikazu ToyokiShinnosuke YonaiyamaShingo SakurabaKazunori AokiHiroaki KawashimaMasaaki Endoh
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JOURNAL FREE ACCESS

2018 Volume 68 Issue 2-4 Pages 177-183

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Abstract

Laparoscopic cholecystectomy (LC) is widely performed because less invasiveness and brings better esthetic outcomes and earlier recovery than open cholecystectomy. It is conceivable that LC is effective therapy in elderly patients. We evaluated its efficacy and safety in elderly patients retrospectively. This study involved a total of 538 cases who went through LC in our hospital from 2010 January to 2015 December (except for patients with tumors or other operations). Thirty patients 80 years of age or older belong to the elderly group, and 508 patients less than 80 years belongs to the non-elderly group. Incidence of hypertension, respiratory diseases and biliary drainage history significantly increased in the elderly group than the non-elderly group. In the elderly group, surgical and non-surgical perioperative complications were more frequency observed, and length of postoperative hospital stay was longer. We considered that cholecystitis in elderly tends to accompany a marked inflammatory response requiring biliary drainage. Through evaluation of the preoperative physical status and meticulous perioperative management are necessary in LC of elderly patients.

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© 2018 Hirosaki Medical Journal Editorial Board
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