THE ANALYSIS OF RESULTS OF LAPAROSCOPIC CHOLECYSTECTOMY AT PATIENTS OF ELDERLY AND SENILE AGE
Abstract
We survey 699 patients who had laparoscopic cholecystectomy to 2006-2011 in National surgical center MH of the Kyrgyz Republic. Patients have been divided into 2 groups: patients aged are more senior 70 years (group A) and patients are younger than 70 years (group B). The group A has been divided further into 3 age subgroups: 70-74, 75-79 and 80 years and more senior. Estimation on scale ASA increases with age increase (P <0,001). At patients at the age of 80 years and more senior, at an acute cholecystitis conversion and postoperative complications were considerably above, than at younger patients (P> 0,05).Quality of results of laparoscopic cholecystectomy in group of patients >80 years it has appeared not more low, than in group of younger patients. Complications can be minimized at careful selection of patients aged >80 years, and operation carrying out by the skilled surgeons having high technical skills.
Keywords:
laparoscopic cholecystectomy, gall-stone disease, acute cholecystitis, advanced age.References
1. Cheng Y., Xiong X.Z., Wu S.J., Lin Y.X., Cheng N.S. Laparoscopic vs. Open Cholecystectomy for Cirrhotic Patients: A Systematic Review and Meta-Analysis // Hepatogastroenterology. - 2011, Dec 22; 59(118).
2. Gurkan Yetkin, Mehmet Uludag, Sibel Oba, Bulent Citgez, İnci Paksoy. Laparoscopic Cholecystectomy in Elderly Patients // JSLS. – 2009, Oct–Dec; 13(4). – Р. 587–591.
3. Halpin V., Gupta A. Acute cholecystitis //Clin. Evid. – 2011. -№1. – Р.411.
4. Kortram K., van Ramshorst B., Bollen T.L., Besselink M.G., Gouma D.J., Karsten T., Kruyt P.M., Nieuwenhuijzen G.A., Kelder J.C., Tromp E.,Boerma D. Acute cholecystitis in high risk surgical patients: percutaneous cholecystostomy versus laparoscopic cholecystectomy: Study protocol for a randomized controlled trial // Trials. – 2012. - 13(1). – Р.7.
5. Oruc M.T., Ugurlu M.U., Boyacioglu Z. Transumbilical multiple-port laparoscopic cholecystectomy using standard laparoscopic instruments // Minim. Invasive Ther. Allied Technol. – 2012. - №1. – Р.3.
