The Safety of a Laparoscopic Cholecystectomy in Acute Cholecystitis in High Risk Patients Older than Sixty
Journal of the Korean Surgical Society
; : 396-401, 2003.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-49592
Responsible library:
WPRO
ABSTRACT
PURPOSE:
To evaluate the safety of a laparoscopic cholecystectomy in acute, or complicated, cholecystitis in patients older than sixty.METHODS:
A prospective study was performed, at the Ewha Womans University Mokdong Hospital, on a series of elderly patients (>60 years; n=137) who had undergone a laparoscopic cholecystectomy due to acute, or complicated, cholecystitis between March 1997 and December 2001. We divided the patients into 3 groups; ASA 1 (n=33, 24.1%), ASA 2 (n=79, 57.7%) and ASA 3 (n=25, 18.3%), according to their ASA (American Society of Anesthesiologist) classification. No patient was categorized as either ASA 4, 5 or 6.RESULTS:
The mean age of the ASA 3 patients was 71.9+/-6.9 years, which was older than the 65.7+/-6.0 years of the ASA 1 patients (P0.05). One death, due to acute myocardial infarction, occurred in one of the ASA 3 patients.CONCLUSION:
A laparoscopic cholecystectomy in acute, or complicated, cholecystitis could be an option in elderly-high risk patients.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Cholecystitis
/
Incidence
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Prospective Studies
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Retrospective Studies
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Classification
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Cholecystectomy, Laparoscopic
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Cholecystitis, Acute
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Diet
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Length of Stay
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Myocardial Infarction
Type of study:
Etiology study
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Incidence study
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Observational study
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Prognostic study
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Risk factors
Limits:
Aged
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Female
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Humans
Language:
Korean
Journal:
Journal of the Korean Surgical Society
Year:
2003
Document type:
Article