We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Complicaciones quirúrgicas de la vesícula y la vía biliar en el paciente geriátrico.
- Authors
Albores-de la Riva, Nallely Xellic; Chávez-Delgado, María Estela; Servín-Torres, Erick; Velázquez-García, José Arturo; Delgadillo-Teller, Germán; Arenas-Osuna, Jesús
- Abstract
Background: the morbidity and mortality in surgery of gallbladder and biliary tract (SGBT) in the geriatric patient define the prognostic. The aim was to describe the perioperative and immediate post-operative complications of the geriatric patient undergoing SGBT. Methods: A cross-sectional study with control group in patients older than 60 years was done. The patients were divided into two groups by age (I: 60-69 years and II: > 70 years). The variables analyzed were morbidity, anesthetic risk, type of surgery, perioperative and post-operative complications, conversion rate and length of hospital stay. Results: a total of 236 patients were included: 65.2 % were females with a mean age 68.5 years. Chronic cholelithiasis accounted for 83 % and laparoscopic cholecystectomy was the procedure most commonly performed (72.8 %). Surgery was scheduled in 92 % cases and urgently in 8 %. In both groups, ASA rank was I-II in 76.2 % vs. 70.1 %; the conversion rate was 2.5 %. Complications were 13.5 %, of which 9.3 % were postoperative and 4.2 % of perioperative. Complications were higher in emergency surgery than elective surgery (36.8 % vs. 11.8 %). The average hospital stay was 4.2 days and there was no mortality. Conclusions: the age does not represent an increase in complications. The laparoscopic cholecystectomy is safe and applicable in elderly. Complications presented were related to the urgent nature of the surgery.
- Subjects
GALLBLADDER surgery complications; BILIARY tract surgery; GERIATRIC surgery; GALLSTONE treatment; ANESTHETICS; LENGTH of stay in hospitals; CROSS-sectional method
- Publication
Revista Medica del IMSS, 2013, Vol 51, Issue 2, p204
- ISSN
0443-5117
- Publication type
Article