Laparoscopic Cholecystectomy for Elderly Patients

Bingener, Juliane; Richards, Melanie L.; Schwesinger, Wayne H.; Strodel, William E.; Sirinek, Kenneth R.

doi:10.1001/archsurg.138.5.531

Cited by 123 publications

(82 citation statements)

References 14 publications

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“…7,8 . La cifra de 19% de conversión a cirugía laparotómica resulta mayor que la observada para la colecistectomía videolaparoscó-pica en la población general [9][10][11] , pero muy acorde a las publicaciones internacionales en pacientes mayores de 70 años, donde corresponde al doble o más aún que las correspondientes a pacientes no geriátricos 12,13 . Un problema a considerar especialmente en la colecistectomía videolaparoscópica, es la presencia del carcinoma oculto de la vesícula biliar.…”

Section: Discussionunclassified

“…Todo lo anterior, explica que la colecistectomía videolaparoscópica en el paciente adulto mayor sea frecuente hoy en día [8][9][10] . De particular interés es el hecho que en este grupo etario se incluye pacientes de mayor riesgo anestésico quirúrgico en función de la coexistencia habitual de patología médica de variada índole 11,12 ; además de condiciones anatómicas locales menos favorables debido a una más prolongada evolución de su patología biliar [13][14][15] .…”

Section: Introductionunclassified

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Resultados de la colecistectomía videolaparoscópica en el adulto mayor

Rioseco

2007

Rev Chil Cir

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RESUMENSe presenta la experiencia en el tratamiento quirúrgico de la patología vesicular litiásica, mediante videolaparoscopia, en una serie prospectiva de 119 pacientes de 60 o más años de edad, de ambos sexos, operados entre Marzo de 2003 y Marzo de 2004, en el Departamento y Servicio de Cirugía del Hospital Barros Luco Trudeau analizando la patología médica asociada, presente en el 70%, los hallazgos relevantes del estudio ecotomográfico preoperatorio (99,1%), las cifras de conversión a cirugía laparotómica (19%), la morbilidad (8,4%) y la mortalidad (0%).PALABRAS CLAVE: Colecistectomía videolaparoscópica, paciente geriátrico, cirugía en adulto mayor. SUMMARYWe report our surgical experience in videolaparoscopic cholecystectomy in 119 patients with 60 or more years old, operated between March 2003 and March 2004, at the Barros Luco's Surgical Department and Service. We analized the medical pathology (70% of patients); the relevant finding at the preoperative ultrasonic study (99,2% of patients); the conversion rate (19%) and postoperatory results. Gran Avda 3100, Santiago, Chile e mail: smontalva@med.uchile.cl INTRODUCCIÓNResulta de interés el estudio de la colecistectomía videolaparoscopia en el paciente adulto mayor en nuestro medio quirúrgico, ya que se ha producido un incremento de la cirugía tanto laparotómica como laparoscópica en general, en pacientes de edad avanzada 1-3 . Por otro lado, la colecistolitiasis en Chile es una patología quirúrgica de muy alta incidencia, afectando también a la población de ambos sexos, en edades iguales o mayores de 60 años [4][5][6] . Todo lo anterior, explica que la colecistectomía videolaparoscópica en el paciente adulto mayor sea frecuente hoy en día [8][9][10] . De particular interés es el hecho que en este grupo etario se incluye pacientes de mayor riesgo anestésico

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Section: Discussionunclassified

Section: Introductionunclassified

Resultados de la colecistectomía videolaparoscópica en el adulto mayor

Rioseco

2007

Rev Chil Cir

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“…Several studies have reported the results of LC in older patients. In addition several clinical studies advocate to using of LC in elderly patient [15][16][17][18]. Several clinical studies have reported that the results of LC associated with different condition such as previous surgery, cirrhotic patient, asymptomatic gallstone.…”

Section: Discussionmentioning

confidence: 99%

“…Postoperative complication is occurred in only about 1.5 -5 % of all patients after LC. Some studies reported that morbidity and mortality increased with age (in the patients older 65 age) associated with co-morbid disease and symptomatic cholecystitis due to risk repeated acute episode and difficult dissection in the operation [16][17][18].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Cholecystectomy Results In Patients With Different Age Groups

Yetim¹,

Dervişoğlu²,

Karaköse³

et al. 2011

Ann Clin Anal Med

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“…The number of elderly patients with acute cholecystitis has been increasing over the years, and earlier reports suggested increased morbidity and a higher conversion rate for laparoscopic cholecystectomy in the elderly [14] and also increased mortality. However, it is very difficult to extrapolate data from series involving both acute and chronic gallbladder disease [15,16] or from those comparing younger and older patients [17,18] because acute biliary disease appears to be more severe in older patients and the overall prevalence of comorbidities is higher. Several prospective and retrospective comparative studies comparing laparoscopic versus open surgery for acute cholecystitis in elderly patients suggested a reduction in the length of hospitalization [19][20][21], with either unchanged [19] or improved morbidity (LE 2b) [20][21][22].…”

Section: Acute Cholecystitismentioning

confidence: 99%

Laparoscopic approach to acute abdomen from the Consensus Development Conference of the Società Italiana di Chirurgia Endoscopica e nuove tecnologie (SICE), Associazione Chirurghi Ospedalieri Italiani (ACOI), Società Italiana di Chirurgia (SIC), Società Italiana di Chirurgia d’Urgenza e del Trauma (SICUT), Società Italiana di Chirurgia nell’Ospedalità Privata (SICOP), and the European Association for Endoscopic Surgery (EAES)

et al. 2012

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Background In January 2010, the SICE (Italian Society of Endoscopic Surgery), under the auspices of the EAES, decided to revisit the clinical recommendations for the role of laparoscopy in abdominal emergencies in adults, with the primary intent being to update the 2006 EAES indications and supplement the existing guidelines on specific diseases. Methods Other Italian surgical societies were invited into the Consensus to form a panel of 12 expert surgeons. In order to get a multidisciplinary panel, other stakeholders involved in abdominal emergencies were invited along with a patient's association.

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Laparoscopic Cholecystectomy for Elderly Patients

Cited by 123 publications

References 14 publications

Resultados de la colecistectomía videolaparoscópica en el adulto mayor

Resultados de la colecistectomía videolaparoscópica en el adulto mayor

Laparoscopic Cholecystectomy Results In Patients With Different Age Groups

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