Laparoscopic Cholecystectomy Results In Patients With Different Age Groups

Yetim, İbrahim; Dervişoğlu, Adem; Karaköse, Oktay; Büyükkarabacak, Yalçın; Bek, Yüksel; Erzurumlu, Kenan

doi:10.4328/jcam.403

Cited by 4 publications

(4 citation statements)

References 21 publications

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“…According to another research by Yetim et al [35] , the average ages in Groups A, B, and C were 25.60 ±3.64, 47.99 ±9.06, and 70.32± 5.06, respectively. Acute calculous cholecystitis [118 patients] and acute acalculous cholecystitis [32 patients] were found to be the most common preoperative diagnoses in our research.…”

Section: Discussionmentioning

confidence: 85%

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Assessment of Laparoscopic Cholecystectomy Outcome among Different Age Group for Treatment of Acute Cholecystitis

Srinivasalu¹,

Vidyasri

2022

International Journal of Medical Arts

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Article informationBackground: In the mid-1980s, laparoscopic cholecystectomy [LC] was introduced to Europe as a replacement option to open cholecystectomy [OC], a surgery that had been used for almost a century. This technique has quickly achieved general acceptance as the treatment of choice for symptomatic cholelithiasis patients. Objective: To review the experience and understanding with LC in patients with benign gallbladder diseases and to compare the results as per different adult age groups [18-30 years, 31-45 years and 46-60 years]. Patients and Methods: The research was a retrospective review of 150 patients with elective LC for benign gallbladder disease. According to their ages, the patients were split into three groups: Group A [18-30 years, n = 34], Group B [31-45 years, n = 76], and Group C [46-60 years, n = 40]. A four-port approach was employed to conduct LC. Results: A total of 150 patients were involved in our study, with Group A [18-30 years, n = 34], Group B [31-45 years, n = 76], and Group C [46-60 years, n = 40] being the three age groups. Males numbered 90, while females numbered 60. In Groups A, B, and C, the mean ages were 24.60±3.14, 38.99±8.06, and 51.32±5.06, respectively. All three groups had statistically significant coincidental biliary diseases [p=0.03914]. The majority of individuals with acute cholecystitis can have a laparoscopic cholecystectomy. However, compared to normal cholecystectomy, the complication incidence appears to be modest in laparoscopic cholecystectomy. Conclusion:LC is an effective and safe treatment for individuals with benign gallbladder illnesses, especially those who are elderly. However, surgeons should be aware of these disorders and use caution in these instances both before and after surgery.

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Section: Discussionmentioning

confidence: 85%

“…Acute calculous cholecystitis [118 patients] and acute acalculous cholecystitis [32 patients] were found to be the most common preoperative diagnoses in our research. Also in the same research the author [35] identified acute calculous cholecystitis [51 patients] and acute acalculous cholecystitis [17 patients] as preoperative diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Laparoscopic Cholecystectomy Outcome among Different Age Group for Treatment of Acute Cholecystitis

Srinivasalu¹,

Vidyasri

2022

International Journal of Medical Arts

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“…Acil LK için %6-35, elektif LK için ise %3-5 oranında açık cerrahiye dönüşüm kabul edilebilir olarak bildirilmiştir (13,14). Bizim serimizde bu oranlar elektif LK' da %4,1, acil LK'da %8,6'dır.…”

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Comparison of Emergency and Elective Laparoscopic Cholecystectomy in Geriatric Patients

Akyüz¹,

Sunamak²

2017

Clin Exp Health Sci

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GİRİŞLaparoskopik kolesistektomi (LK) safra kesesi hastalığının tedavisinde altın standarttır. LK'nin daha az ağrı, iyileşmenin kısalması, operatif stresin azalması, sınırlı inflamatuar yanıt, düşük komplikasyon, daha kısa hastanede kalış süresi ve düşük maliyetli olması gibi bazı avantajları vardır (1, 2). Bütün bu avantajlara rağmen cerrahlar geriatrik hastalarda laparoskopik cerrahi yaklaşımda isteksiz davranmakta ve sıklıkla konservatif yaklaşımları tercih etmektedirler (3). Geriatrik hastalara karşı bu savunmacı yaklaşım sıklıkla akut veya kronik tekrarlayan kolesistit, hidrops, ampiyem ya da perforasyon ile kendini göstermektedir (3, 4). Safra taşlarının sıklığı yaşla birlikte artar (5). Günümüzde 65 yaş üstü geriatrik hastaların oranı artıkça LK oranlarının da artacağı tahmin edilmektedir (5). Geriatrik hastalarda yandaş hastalıklar ve sınırlı fonksiyonel kapasite, peri ve post-operatifkomplikasyonlar için önemli risk faktörleridir (6).Bu araştırmanın amacı elektif ve acil LK uygulanan 65 yaş ve üstü geriatrik hastalarda postoperatif sonuçların değerlendirilmesidir. AbstractObjective: While the incidence of cholelithiasis increases with age, laparoscopic cholecystectomy (LC) has been more frequently performed in geriatric patients in recent years. This study aimed to analyze the results of elective and emergency LC. Methods: Medical records of patients aged over 65 years who underwent elective and emergency LC between January 2014 and December 2016 were retrospectively analyzed. Results: There were 119 patients; of these, 46 (38.7%) underwent emergency LC (emergency LC group) and 73 (61.3%) underwent elective LC (elective LC group). The conversion rate was 5.9%, and there was no difference between the groups (p=0.177). The mean age of the patients and duration of operation were 70.3 years and 86 min, respectively, and there was no difference between the groups. The hospitalization duration in patients in the elective LC group was shorter than that of those in the emergency LC group (2.11 versus 3.15 days, p=0.0001). Post-operative complications were seen in 9 patients in the elective LC group and 6 patients in the emergency LC group and showed no significant difference. One patient died in the elective LC group. Conclusion: Emergency LC in geriatric patients resulted in a longer hospitalization duration. However, it can be safely performed with low morbidity and mortality rate. Advanced age is not a contraindication for undergoing LC.

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“…Ortak mülkiyet duygusuyla hareket eden araştırmacı ya da okuyucu olarak sizlerin eleştiri ve görüşlerini almak JCAM adına bizleri mutlu edecektir. ,10,[12][13][14][15][18][19][20][21][22][23] 16[25,[27][28][29]31,[34][35][36][37][38]40,42,48,[52][53][54][55]57,58,61]…”

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2012

J Clin Anal Med

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Laparoscopic Cholecystectomy Results In Patients With Different Age Groups

Cited by 4 publications

References 21 publications

Assessment of Laparoscopic Cholecystectomy Outcome among Different Age Group for Treatment of Acute Cholecystitis

Assessment of Laparoscopic Cholecystectomy Outcome among Different Age Group for Treatment of Acute Cholecystitis

Comparison of Emergency and Elective Laparoscopic Cholecystectomy in Geriatric Patients

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