Laparoscopic common bile duct exploration for elderly patients: as a first treatment strategy for common bile duct stones / 대한외과학회지
Journal of the Korean Surgical Society
;
: 128-133, 2011.
Artigo
em Inglês
| WPRIM
| ID: wpr-127564
ABSTRACT
PURPOSE:
Common bile duct (CBD) stone is a relatively common disease in elderly patients. There have been many reports about the efficacy and safety of LCBDE. But for elderly patients, only a few studies about its efficacy and safety exist. The aim of this study is to evaluate the efficacy, safety and the surgical outcome of LCBDE in patients who are 70 years or older and compare the results with those of the younger group.METHODS:
From January 2000 to November 2009, 132 patients underwent LCBDE. We divided these patients into two groups according to age and conducted a retrospective analysis. The elderly group included patients who were 70 years old or older (n = 64), and the younger group included those who were younger than 70 (n = 68). The elderly group was compared to the younger group with respect to their clinical characteristics, operation time, postoperative hospital stay, open conversion rate, first meal time, postoperative complication, recurrence rate and mortality.RESULTS:
The elderly group showed high American Society of Anesthesiologists score (2.2 vs. 1.9) (P = 0.003), preoperative morbidity (47 vs. 29) (P 0.05).CONCLUSION:
LCDBE is a safe and effective treatment modality for CBD stones not only for younger patients but also for elderly patients.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Complicações Pós-Operatórias
/
Recidiva
/
Estudos Retrospectivos
/
Ducto Colédoco
/
Refeições
/
Tempo de Internação
Tipo de estudo:
Estudo observacional
Limite:
Idoso
/
Humanos
Idioma:
Inglês
Revista:
Journal of the Korean Surgical Society
Ano de publicação:
2011
Tipo de documento:
Artigo
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