CONVENTIONAL CHOLECYSTECTOMY IN ELDERLY PATIENTS

被引:0
|
作者
MAKINEN, AM [1 ]
NORDBACK, I [1 ]
机构
[1] TAMPERE UNIV HOSP,DEPT SURG,SF-33520 TAMPERE,FINLAND
关键词
CHOLECYSTECTOMY; COMPLICATIONS; ELDERLY;
D O I
暂无
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
One hundred and seventy two consecutive patients of 70 years or older undergoing cholecystectomy at laparotomy for gallbladder stone disease during a five-year period in Tampere University Hospital were studied to evaluate the present safety of ''conventional'' cholecystectomy in the elderly. One hundred and six (62 %) underwent emergency or urgent cholecystectomy for acute cholecystitis and 66 (33 %) elective cholecystectomy. The mortality was zero per cent in elective operations as compared to 5 % in emergency/urgent operations (P < 0.001). The complication rate was 8 % in elective operations compared to 25 % in emergency/urgent operations (P < 0.001). These results suggest that conventional cholecystectomy is a very safe operation In the elderly, when performed electively. The development of new methods to treat gallbladder stone disease, such as laparoscopic cholecystectomy, must be undertaken from this background.
引用
收藏
页码:241 / 244
页数:4
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