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- Title
YAŞLI HASTALARDA LAPAROSKOPİK KOLESİSTEKTOMİNİN FARKLILIKLARI VE GÜVENİLİRLİĞİ.
- Authors
TÜRKAN, Ahmet; ERDOĞAN, Ahmet; KILINÇ, Uğur
- Abstract
Objective Since older patients are more likely to have comorbidities, a major concern is that surgery in geriatric patients carries an increased risk of morbidity and mortality compared to younger patients. In this study, it was aimed to compare the results of laparoscopic cholecystectomy performed on patients aged 18-64 and 65 and above, and to present these results in light of the literature. Material and Methods Patients who underwent laparoscopic cholecystectomy between January 2018 and December 2018 were retrospectively consecutively separated into two groups: 40 patients between the ages of 18-64 were included in Group 1 while 40 patients aged 65 and above were included in Group 2. Demographic features, surgical indications, hospitalization and complication information of the patients were examined and compared according to their file data. Results Eighty patients were included in the study. 18,8% (n=15) of the patients were male while 81,2% (n=65) were female. As an indication, chronic symptomatic cholecystolithiasis was most prevalent in the group below 65 years of age, whereas interval cholecystectomy after subacute cholecystitis was more common in the group aged 65 and above (p=0,012). Coronary artery disease, chronic obstructive pulmonary disease, and cardiac insufficiency were significantly more prevalent in the group aged 65 years and above (p=0,014). No difference was found between the groups in terms of hospitalization durations and complications (p=0,933), (p = 0,220). Conclusion Even though comorbidities are more commonly observed in elderly patients, the fact that complications and length of hospital stay are similar to the younger group supports that laparoscopic cholecystectomy can be performed safely in geriatric ages.
- Publication
Medical Journal of Suleyman Demirel University, 2021, Vol 28, Issue 3, p391
- ISSN
1300-7416
- Publication type
Article
- DOI
10.17343/sdutfd.789171