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Chirurgia 1999 August;12(4):247-52

language: Italian

Laparoscopic cholecystectomy in the elderly

Canonico S., Pacifico F., Sciaudone G., Alberico A.


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Two homogeneous groups of elderly patients undergoing cholecystectomy for cholelithiasis were studied: group ''A'' included 19 patients consecutively operated on by laparoscopic technique and group ''B'' included 19 previous consecutive patients treated by traditional laparotomic technique. Operation time, perioperative morbidity, postoperative pain, hospital stay, technique acceptance and costs were compared in the two groups. The mean operation time was shorter in group ''B'' than in group ''A'' (58 vs 127 m'); lenght of hospital stay was significantly increased in patients undergoing laparotomic cholecystectomy (6.7 vs 2.3 days). Postoperative pain was evaluated by an analogic scale from 0 to 3 and was significant lower in patients of group ''A'', with a mean value of 1.2 vs 3.4 in the operative day, 0.6 vs 2.1 and 0.2 vs 1.2 during the first and second day after the operation (p<005). In patients of group ''B'' 7 (36.84%) wound infections and 1 (5.26%) incisional hernia occurred; no postoperative complication occurred in group ''A''. Ventilatory parameters were evaluated in patients undergoing laparoscopic cholecystectomy and the data were statically evaluated according to Mams-Whitney U test. No significative difference was observed between the values registered during and after abdominal insufflation with CO2. The authors conclude emphasizing the applicability and benefits of the laparoscopic cholecystectomy also in the geriatric population.

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