RESUMO
732 patients older than 70 years suffering from abdominal diseases were studied regarding postoperative complications and mortality. The rate of complications in connection with surgical procedures corresponds to that of younger patients. But complication depending on organs and organ systems impaired by age and pre-existing diseases were found in higher percentage.
Assuntos
Abdome/cirurgia , Complicações Pós-Operatórias/mortalidade , Fatores Etários , Idoso , Doenças Cardiovasculares/mortalidade , Feminino , Gastroenteropatias/cirurgia , Neoplasias Gastrointestinais/cirurgia , Humanos , Masculino , Cuidados Paliativos , Peritonite/mortalidade , Prognóstico , Risco , Deiscência da Ferida Operatória/mortalidade , Infecção da Ferida Cirúrgica/mortalidade , Tromboembolia/mortalidadeRESUMO
Our analysis of 378 patients made after operations for diseases of the gallbladder and bile tract underlines the demand of an exact preoperative diagnostic examination of other abdominal organs, e.g. the oesophagus, stomach, duodenum, liver and pancreas. The value of using modern intraoperative diagnostic procedures for the biliary tract is confirmed. Our analysis also demonstrates the necessity of traeting cholelithiasis surgically at an early stage. Complications of cholelithiasis include a higher risk, a worse prognosis with regard to permanent healing and a higher rate of postoperative lethality.