Comparison between open and laparoscopic elective cholecystectomy in elderly, in a teaching hospital

Shahi

Surgery Research and Practice

et al. 2017

Background The incidence of gallstone increases with increasing age. No studies have been reported in the elderly population with laparoscopic cholecystectomy from developing nations. The aim of this study was to compare perioperative outcomes of laparoscopic cholecystectomy between the elderly (≥60 years old) and the young (<60 years old). Methods From July 2015 to June 2016, a retrospective review of medical records of 78 elderly patients (≥60 years old) and 164 young patients (<60 years old) who underwent laparoscopic cholecystectomy was done. The patients' demographics and perioperative outcomes were analyzed. Results Median ages were 65 years (range: 60–80) and 45 years (range: 21–59) for the elderly group and the young group. The majority of patients were female (62.8 and 72%). There were no significant differences in the conversion rate (9 and 7.9%, P = 0.78), postoperative complications (17.9 and 14.6%, P = 0.50), and length of stay in the hospital (4 days for both groups, P = 0.35) between the two groups. There was no mortality in either of the groups. Conclusion Our results of laparoscopic cholecystectomy in elderly patients are comparable with those in young patients. Therefore, laparoscopic cholecystectomy is safe even in the elderly population.

Section: Discussioncontrasting

confidence: 49%

Laparoscopic Cholecystectomy in the Elderly: An Experience at a Tertiary Care Hospital in Western Nepal

Shahi

Surgery Research and Practice

et al. 2017

“…In the present study both the comparative groups had equal proportion of study subjects which coincides with finding by Soper et al 8 Vander Velpen et al 9 but unequal in the studies by Williams et al 10 and Rubert et al 11 Mean age of patients undergoing laparoscopic surgery was 38.84 ± 9.27 years and that of the other group was 38.04 ± 10.23 years. It was 62 years in the former group and 61.5 years in the latter in the study by Vander Velpenet al 9 Females had higher prevalence (82%) than males (18%) which was also seen in the study by Barase AK.…”

Section: Discussionsupporting

confidence: 90%

“…12 The hospital stay in patients undergoing laparoscopic cholecystectomy was less (3.72 days) as compared to in open cholecystectomy (6.98 days). The above finding was supported by Tronsden et al 13 Rubert et al 11 and Keus F et al 14 Grace et al. 18 Hardy et al 16 Chan et al 19 Buanes et al 20 Porte and DeVries.…”

Section: Discussionmentioning

confidence: 67%

Comparative Study Between Laparoscopic Cholecystectomy and Open Cholecystectomy in a Tertiary Care Centre of Southern Odisha

Dash¹,

Das²,

Roy³

et al. 2019

jebmh

BACKGROUNDCholelithiasis popularly known as gall stone has become a matter of global concern particularly in the adult age group owing to our life styles. Although open cholecystectomy started earlier, laparoscopic cholecystectomy has replaced it with few exceptions. However, each procedure has its advantages and disadvantages pertaining to certain characteristics of the patient, infrastructure availability and financial feasibility.The aim of this study was to compare the relative effectiveness of each procedure through different parameters before, during and after the surgery. MATERIALS AND METHODSIn this cross-sectional study, 100 patients were included with equal proportion in each group. They underwent either of the surgeries and comparison was made utilizing different pre, intra and post-operative factors through different statistical tests applied accordingly. RESULTSLaparoscopic cholecystectomy was better than open cholecystectomy in terms of surgery duration, decreased pain post operatively, ambulation, hospital stay etc. with statistical significance between the 2 groups. The outcome was favourable leading to the impression of going for the former procedure in most of the settings of cholelithiasis. CONCLUSIONLaparoscopic cholecystectomy was better alternative to open cholecystectomy in terms of less intra and postoperative complications.

ABCD, arq. bras. cir. dig.

“…It is estimated, nowadays, that 85% of the patients with cholecystolithiasis keep asymptomatic for at least 10 years. In the last two decades, the knowledge and management evolved in a meaningful way, and a lot of clinical and microbiological parameters have been studied, just like the way how antibiotics and defense systems of biliary tract interfere with the evolution of the infections in bile duct 1 , 4 , 10 , 11 .…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Bacteriobilia in Patients Undergoing Elective Colecystectomy

Oliveira

Silva

Queiroz

et al. 2018

Background: Cholelithiasis is one of the diseases with greater surgical indication. Currently, laparoscopic cholecystectomy is the gold standard in the treatment of cholelithiasis. Aim: To analyze the culture of bile from patients with cholelithiasis, mainly in the occurrence of brown and mixed stones. Methods: Was carried out a prospective study with 246 cases with biliary lithiasis who underwent elective laparoscopic cholecystectomy. Bile culture was performed in all. During anesthetic induction the patients received a single dose of intravenous cefazolin 1 g. At the end of the surgery, the gallbladder was punctured, its contents extracted and immediately placed in a sterile 20 ml propylene flask and promptly sent to bacterioscopy with Maconkey and blood agars. Incubation at 37° C for 24 h was carried out. A protocol was elaborated to include the main factors potentially related to cholelithiasis and the possible presence of associated bacterial infection. Results: Of the 246 patients, 201 had negative bile culture and 45 positive. Of the 45 patients with bacteriobilia, 34 had growth of a single type of bacterium in bile culture and 11 more than one. Conclusions: It was observed a relationship between bacteriobilia and age, suggesting that age is a risk factor for bacteriobilia. The use of antibiotic prophylaxis in the elderly is therefore recommended.