Elective Laparoscopic Cholecystectomy: The Effect of Age on Conversions, Complications and Long-Term Results
Background/Aims: The purpose of the present study was to analyze the appropriateness and long-term results of elective laparoscopic cholecystectomy in the treatment of gallstone disease in the elderly. Methods: We studied all elderly (≧75 years) patients (n = 80) who underwent laparoscopic cholecyst...
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| Veröffentlicht in: | Digestive surgery 2011-01, Vol.28 (3), p.205-209 |
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| creator | Lill, Sven Rantala, Arto Vahlberg, Tero Grönroos, Juha M. |
| description | Background/Aims: The purpose of the present study was to analyze the appropriateness and long-term results of elective laparoscopic cholecystectomy in the treatment of gallstone disease in the elderly. Methods: We studied all elderly (≧75 years) patients (n = 80) who underwent laparoscopic cholecystectomy at our institution during the years 1992–2001. Two control groups (65–74 years and |
| doi_str_mv | 10.1159/000324445 |
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Methods: We studied all elderly (≧75 years) patients (n = 80) who underwent laparoscopic cholecystectomy at our institution during the years 1992–2001. Two control groups (65–74 years and <65 years) included the same amount of patients. For determining the long-term results, we asked the patients to specify their overall satisfaction with the results of the procedure (very satisfied, satisfied, no effect, worse). Results: There were no statistically significant differences in mean operative time (61, 65, 72 min) or conversions to open surgery (6, 11, 16%) between the age groups (<65, 65–74, ≧75 years). The mean hospitalization time (2.1, 3.3, 4.4 days) and complications (0, 11, 13%) increased with the age of the patients. Neither severe complications nor mortality were encountered. The vast majority of the patients were very satisfied or satisfied with the long-term results of the procedure in all age groups (97% <65 years, 83% 65–74 years, 80% ≧75 years). Conclusion: Elective laparoscopic cholecystectomy is also a safe and feasible operation with good long-term results in the elderly.</description><identifier>ISSN: 0253-4886</identifier><identifier>EISSN: 1421-9883</identifier><identifier>DOI: 10.1159/000324445</identifier><identifier>PMID: 21540608</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; Case-Control Studies ; Cholecystectomy ; Cholecystectomy, Laparoscopic ; Elective Surgical Procedures ; Female ; Gallstones - surgery ; Humans ; Length of Stay - statistics & numerical data ; Male ; Original Paper ; Patient Satisfaction - statistics & numerical data ; Postoperative Complications - epidemiology ; Treatment Outcome</subject><ispartof>Digestive surgery, 2011-01, Vol.28 (3), p.205-209</ispartof><rights>2011 S. Karger AG, Basel</rights><rights>Copyright © 2011 S. Karger AG, Basel.</rights><rights>Copyright (c) 2011 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c332t-ad208e3f41b3b5fb52abc6f85d6e5b77212adafe9ad49e2f376c56f93abf57f23</citedby><cites>FETCH-LOGICAL-c332t-ad208e3f41b3b5fb52abc6f85d6e5b77212adafe9ad49e2f376c56f93abf57f23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,2423,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21540608$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lill, Sven</creatorcontrib><creatorcontrib>Rantala, Arto</creatorcontrib><creatorcontrib>Vahlberg, Tero</creatorcontrib><creatorcontrib>Grönroos, Juha M.</creatorcontrib><title>Elective Laparoscopic Cholecystectomy: The Effect of Age on Conversions, Complications and Long-Term Results</title><title>Digestive surgery</title><addtitle>Dig Surg</addtitle><description>Background/Aims: The purpose of the present study was to analyze the appropriateness and long-term results of elective laparoscopic cholecystectomy in the treatment of gallstone disease in the elderly. Methods: We studied all elderly (≧75 years) patients (n = 80) who underwent laparoscopic cholecystectomy at our institution during the years 1992–2001. Two control groups (65–74 years and <65 years) included the same amount of patients. For determining the long-term results, we asked the patients to specify their overall satisfaction with the results of the procedure (very satisfied, satisfied, no effect, worse). Results: There were no statistically significant differences in mean operative time (61, 65, 72 min) or conversions to open surgery (6, 11, 16%) between the age groups (<65, 65–74, ≧75 years). The mean hospitalization time (2.1, 3.3, 4.4 days) and complications (0, 11, 13%) increased with the age of the patients. Neither severe complications nor mortality were encountered. The vast majority of the patients were very satisfied or satisfied with the long-term results of the procedure in all age groups (97% <65 years, 83% 65–74 years, 80% ≧75 years). Conclusion: Elective laparoscopic cholecystectomy is also a safe and feasible operation with good long-term results in the elderly.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Case-Control Studies</subject><subject>Cholecystectomy</subject><subject>Cholecystectomy, Laparoscopic</subject><subject>Elective Surgical Procedures</subject><subject>Female</subject><subject>Gallstones - surgery</subject><subject>Humans</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Original Paper</subject><subject>Patient Satisfaction - statistics & numerical data</subject><subject>Postoperative Complications - epidemiology</subject><subject>Treatment Outcome</subject><issn>0253-4886</issn><issn>1421-9883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpd0U1r4zAQBmCxbNmm6R72vhTRSynUu_q05d5KSD_AUFjSs5HlUerWtlzJDuTfVyFpDnsSr_RoGGYQ-kXJH0pl_pcQwpkQQn5DMyoYTXKl-Hc0I0zyRCiVnqKzEN52LM3pD3TKqBQkJWqG2mULZmw2gAs9aO-CcUNj8OLVxfttGOOj67a3ePUKeGltjNhZfLcG7Hq8cP0GfGhcH25i6Ia2MXrcRaz7GheuXycr8B3-B2Fqx3COTqxuA_w8nHP0cr9cLR6T4vnhaXFXJIZzNia6ZkQBt4JWvJK2kkxXJrVK1inIKssYZbrWFnJdixyY5VlqZGpzrisrM8v4HF3t6w7efUwQxrJrgoG21T24KZQqo1yRnGZRXv4n39zk-9hcRIJwkRIR0fUemTif4MGWg2867bclJeVuAeVxAdFeHApOVQf1UX5NPILfe_Cu_Rr8ERz-fwIwIIm0</recordid><startdate>20110101</startdate><enddate>20110101</enddate><creator>Lill, Sven</creator><creator>Rantala, Arto</creator><creator>Vahlberg, Tero</creator><creator>Grönroos, Juha M.</creator><general>S. Karger AG</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20110101</creationdate><title>Elective Laparoscopic Cholecystectomy: The Effect of Age on Conversions, Complications and Long-Term Results</title><author>Lill, Sven ; Rantala, Arto ; Vahlberg, Tero ; Grönroos, Juha M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c332t-ad208e3f41b3b5fb52abc6f85d6e5b77212adafe9ad49e2f376c56f93abf57f23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Case-Control Studies</topic><topic>Cholecystectomy</topic><topic>Cholecystectomy, Laparoscopic</topic><topic>Elective Surgical Procedures</topic><topic>Female</topic><topic>Gallstones - surgery</topic><topic>Humans</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Original Paper</topic><topic>Patient Satisfaction - statistics & numerical data</topic><topic>Postoperative Complications - epidemiology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lill, Sven</creatorcontrib><creatorcontrib>Rantala, Arto</creatorcontrib><creatorcontrib>Vahlberg, Tero</creatorcontrib><creatorcontrib>Grönroos, Juha M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Digestive surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lill, Sven</au><au>Rantala, Arto</au><au>Vahlberg, Tero</au><au>Grönroos, Juha M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Elective Laparoscopic Cholecystectomy: The Effect of Age on Conversions, Complications and Long-Term Results</atitle><jtitle>Digestive surgery</jtitle><addtitle>Dig Surg</addtitle><date>2011-01-01</date><risdate>2011</risdate><volume>28</volume><issue>3</issue><spage>205</spage><epage>209</epage><pages>205-209</pages><issn>0253-4886</issn><eissn>1421-9883</eissn><abstract>Background/Aims: The purpose of the present study was to analyze the appropriateness and long-term results of elective laparoscopic cholecystectomy in the treatment of gallstone disease in the elderly. Methods: We studied all elderly (≧75 years) patients (n = 80) who underwent laparoscopic cholecystectomy at our institution during the years 1992–2001. Two control groups (65–74 years and <65 years) included the same amount of patients. For determining the long-term results, we asked the patients to specify their overall satisfaction with the results of the procedure (very satisfied, satisfied, no effect, worse). Results: There were no statistically significant differences in mean operative time (61, 65, 72 min) or conversions to open surgery (6, 11, 16%) between the age groups (<65, 65–74, ≧75 years). The mean hospitalization time (2.1, 3.3, 4.4 days) and complications (0, 11, 13%) increased with the age of the patients. Neither severe complications nor mortality were encountered. The vast majority of the patients were very satisfied or satisfied with the long-term results of the procedure in all age groups (97% <65 years, 83% 65–74 years, 80% ≧75 years). Conclusion: Elective laparoscopic cholecystectomy is also a safe and feasible operation with good long-term results in the elderly.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>21540608</pmid><doi>10.1159/000324445</doi><tpages>5</tpages></addata></record> |
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| ispartof | Digestive surgery, 2011-01, Vol.28 (3), p.205-209 |
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| source | Karger Journals; MEDLINE; Alma/SFX Local Collection |
| subjects | Age Factors Aged Aged, 80 and over Case-Control Studies Cholecystectomy Cholecystectomy, Laparoscopic Elective Surgical Procedures Female Gallstones - surgery Humans Length of Stay - statistics & numerical data Male Original Paper Patient Satisfaction - statistics & numerical data Postoperative Complications - epidemiology Treatment Outcome |
| title | Elective Laparoscopic Cholecystectomy: The Effect of Age on Conversions, Complications and Long-Term Results |
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