Cholécystectomie cœlioscopique après 75 ans

IF 0.6 4区 医学 Q4 SURGERY Chirurgie Pub Date : 1999-09-01 DOI:10.1016/S0001-4001(00)80015-X
P. Pessaux, J.J. Tuech, R. Duplessis, R. Seicean, J.P. Arnaud
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引用次数: 4

Abstract

Aim of the study

The aim of this prospective study was to determine the feasibility, complications and benefits of laparoscopic cholecystectomy in the patients over 75 years of age.

Methods

From January 1992 to July 1998, among the 863 patients who underwent laparoscopic cholecystectomy, 102 patients over 75 years (group I) were compared to 761 younger patients (group II).

Results

The conversion rate was 22% in group I versus 13% in group II (P = 0.017). Mortality and morbidity rates were respectively 1% and 13.7% in elderly patients versus 0 and 6.6% in younger patients (P = 0.009). Mean length of hospital stay was higher in group I: 6.9 versus 4.5 d in group II (P < 10−6).

Conclusions

Laparoscopic cholecystectomy is feasible in patients above 75 for the treatment of symptomatic gallstones and acute cholecystitis with a low morbidity rate.

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75年后腹腔镜胆囊切除术
本前瞻性研究的目的是确定75岁以上患者行腹腔镜胆囊切除术的可行性、并发症和益处。方法1992年1月~ 1998年7月,863例行腹腔镜胆囊切除术的患者中,75岁以上的102例(I组)与75岁以下的761例(II组)比较。结果I组的转换率为22%,II组为13% (P = 0.017)。老年患者死亡率和发病率分别为1%和13.7%,而年轻患者的死亡率和发病率分别为0和6.6% (P = 0.009)。I组患者的平均住院时间为6.9 d,而II组为4.5 d (P <10−6)。结论75岁以上患者行腹腔镜胆囊切除术治疗有症状的胆结石和急性胆囊炎是可行的,且发病率低。
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来源期刊
CiteScore
1.30
自引率
22.20%
发文量
0
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Lebermetastasen neuroendokriner Tumoren Hepatozelluläres Karzinom [Osteoporosis: diagnostics and treatment]. Der Weg zum Kompetenzzentrum für Adipositas und metabolische Chirurgie – Erfahrungen aus 2 verschiedenen Kliniken Klinischer Stellenwert alternativer Technologien zur standardmäßigen laparoskopischen Cholezystektomie – Single-Port, Reduced-Port, Roboter, NOTES
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