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Luján, Juan; Sánchez‐Bueno, Francisco; Parrilla, P.; Robles, R.; Torralba, José Antonio; Gonzalez-Costea, R.

doi:10.1097/00019509-199806000-00009

Cited by 57 publications

(3 citation statements)

References 8 publications

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“…However, for this analysis some of these authors consider the mortality rate of cholecystectomy performed to treat patients of all ages with symptomatic gallstones, including those with complications such as gallbladder empyema and acute pancreatitis [3, 4]. Several studies have demonstrated that the morbidity and mortality rates for elective cholecystectomy in patients under 50 years of age are lower than those of higher age [9, 10, 11, 12]. In addition, the morbidity and mortality for cholecystectomy are significantly increased in patients who have an emergency operation for one of the complications associated with calculous gallbladder disease [12, 13].…”

Section: Discussionmentioning

confidence: 99%

“…The morbidity and mortality of laparoscopic cholecystectomy in these conditions are higher. The procedure is associated with a greater risk for conversion to laparotomy, delayed recovery, prolonged hospital stay, and increased costs [9, 10, 11, 12]. In addition, choledocholithiasis, acute cholangitis, biliary fistulas, and carcinoma of the gallbladder are more common in the elderly, increasing operative risk significantly [5, 15].…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic Cholecystectomy to Treat Patients with Asymptomatic Gallstones

Coelho¹,

Junior²,

Salvalaggio³

et al. 2000

Dig Surg

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Background/Aims: The management of patients with silent or asymptomatic gallstones remains controversial. The objective of this study is to determine the complications of laparoscopic cholecystectomy performed to treat patients under 50 years of age with asymptomatic gallstones. Method: 207 patients, 13–49 years of age with asymptomatic gallstones, were subjected to laparoscopic cholecystectomy. There were 161 (78%) women and 46 (22%) men. Results: Operative time varied from 25 to 95 min, with an average of 42 min. The length of hospitalization varied from 12 h to 2 days. In no patient was the operation converted to laparotomy. There was neither mortality nor major complications. The following minor complications were observed: vomiting in 43 patients (20.7%), fever in 16 (7.7%), minor skin infection in 7 (3.3%), and keloid in 2 (0.9%). Conclusion: It is concluded from this study that laparoscopic cholecystectomy is a safe procedure in the treatment of patients under 50 years of age with asymptomatic gallstones.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Laparoscopic Cholecystectomy to Treat Patients with Asymptomatic Gallstones

Coelho¹,

Junior²,

Salvalaggio³

et al. 2000

Dig Surg

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“…scopy impose unique physiologic stresses and, as such, may alter surgical risk to the geriatric patient [17][18][19]. The incidence of hypertension, atherosclerosis, and chronic pulmonary complications are all elevated in patients aged 65 and older [20,21]. Hypertension is among the diseases that are most significantly increased in our report.…”

Section: Resultsmentioning

confidence: 65%

Urologic Laparoscopic Surgeries in Elderly: Analysis of Pre-Operative Risk Factors and Postoperative Complications

Permpongkosol¹

2013

OJU

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The aging of the population leads to increases in the prevalence of symptomatic urologic diseases. The aim of this study is the analysis of pre-operative risk factors and postoperative complications in patients over the age of 60 years undergoing elective laparoscopic urologic surgery. Patients and Methods: A retrospective study was conducted of 113 patients 60 years of age or older who underwent urologic laparoscopic surgery by a single surgeon (SP). The preoperative physical status and systemic complications, operation time, postoperative complications, postoperative hospital stay and other clinical features of the patients were reviewed. Complications were classified according to the recently revised Clavien classification system. Statistical analysis was done using Univariate analysis and the Fisher Exact test. Results: Laparoscopic urologic surgery was performed on 113 patients 60 years old and over, with an average age of 69.6 years. Associated diseases were found in 92% of them. Pelvic surgery (65; 57.5%) was the main reason for surgery. There were 5 (4.4%) conversions to open surgery and 0% mortality. The overall complication rate was 10 patients (8.8%). Among 9 (7.96%) patients with post-operative complications; Grade I, II, IIIa, IIIb and IV complications were observed in 1.77%, 12.8%, 3.53%, 0.88% and 0.88% of cases, respectively. Sex with male, operative time ≥ 250 min and cancer had high risk ratio (2.76, 2.11 and 3.02, respectively); however the correlations of all of preoperative risk factors and postoperative complications showed no statistically significant differences. Conclusions: Laparoscopic surgical treatment of urologic disease in elderly patients performed is feasible and well tolerated, with low perioperative morbidity and a good overall survival rate. Pre-operative risk factors may not influence postoperative complications in patients over the age of 60 years undergoing elective laparoscopic urologic surgery.

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