Postoperative Cardiac Complications

Manjarrez, Efren; Mauck, Karen F.; Cohn, Steven L.

doi:10.1002/9781118375372.ch28

Cited by 1 publication

(1 citation statement)

References 48 publications

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“…Wang et al, 39 in a retrospective study that included 184 patients, showed only a 9.2% recurrence rate of cholecystitis [36][37][38][39] Consistent with results of prior studies, postoperative myocardial infarction increased the risk of death after surgery. [40][41][42] Sepsis, systemic inflammatory response syndrome, smoking, and corticosteroid use were predictive of postoperative complications, congruent with the existing literature. [43][44][45][46] Smoking cessation at least 4 weeks before elective procedures will reduce postoperative pulmonary and wound complications.…”

Section: Original Research and Contributionssupporting

confidence: 71%

Are They Too Old for Surgery? Safety of Cholecystectomy in Superelderly Patients (≥ Age 90)

Irojah¹,

Bell

Grim

et al. 2017

TPJ

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Context: Cholecystectomy is the most common general surgery procedure in patients older than age 65 years. By 2050, it is estimated that 2.0% of the population will be older than age 90 years.Objective: To assess the mortality of cholecystectomy in superelderly patients (≥ age 90 years).Design were open and 791 (78.6%) were laparoscopic. Mortality did not decrease significantly during the study period. The overall mortality was 5.5%, significantly less for the laparoscopic group (3.7% vs 12%, p < 0.001) and for the nonemergent group (4.5% vs 9.5%, p < 0.005). The median length of stay for open cholecystectomy was 9 days compared with 5 days for laparoscopic (p < 0.001); for nonemergent cholecystectomy it was 5 days compared with 7 days for emergent cholecystectomy (p < 0.001).Conclusion: The mortality after cholecystectomy in superelderly patients did not change significantly during the study period. The mortality and morbidity for laparoscopic and elective procedures were significantly lower than for open procedures and for emergent procedures, respectively.

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