Role of Fundus-First Laparoscopic Cholecystectomy in the Management of Acute Cholecystitis in Elderly Patients

2006 ◽  
Vol 16 (2) ◽  
pp. 124-127 ◽  
Author(s):  
Yu-Chun Wang ◽  
Horng-Ren Yang ◽  
Ping-Kuei Chung ◽  
Long-Bin Jeng ◽  
Ray-Jade Chen
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Elderly Patients ◽  
Acute Cholecystitis

Surgical outcomes of laparoscopic cholecystectomy for acute cholecystitis in elderly patients

2018 ◽  
Vol 12 (2) ◽  
pp. 157-161 ◽  
Author(s):  
Yuki Yokota ◽  
Yoshito Tomimaru ◽  
Kozo Noguchi ◽  
Takehiro Noda ◽  
Hisanori Hatano ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Elderly Patients ◽  
Acute Cholecystitis ◽  
Surgical Outcomes

scholarly journals DOES MALE GENDER INCREASE THE RISK OF LAPAROSCOPIC CHOLECYSTECTOMY?

2019 ◽  
Vol 32 (2) ◽  
Author(s):  
Júlio Cezar Uili COELHO ◽  
Giuliano Ohde DALLEDONE ◽  
Wagner SCHIEL ◽  
Jacqueline de Pauli BERBARDIN ◽  
Christiano M. P. CLAUS ◽  
...  
Keyword(s):  
Risk Factor ◽  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Perioperative Complications ◽  
Male Gender ◽  
Female Group ◽  
Intraoperative Complication ◽  
Study Protocols ◽  
Conversion To Open Cholecystectomy

ABSTRACT Background: Laparoscopic cholecystectomy is the preferable treatment for chronic or acute cholecystitis. Some factors may increase the rate of laparoscopic conversion to open cholecystectomy and perioperative complications. The role of gender as a risk factor for laparoscopic cholecystectomy is controversial. Aim: To evaluate the role of the gender on the operative findings and outcome of laparoscopic cholecystectomy. Method: All patients who underwent laparoscopic cholecystectomy for chronic or acute cholecystitis were included. Demographic, clinical, laboratory, imaging exams, intraoperative and postoperative data were obtained and analyzed. The data was obtained retrospectively from electronic medical records and study protocols. Results: Of a total 1,645 patients who were subjected to laparoscopic cholecystectomy, 540 (32.8%) were men and 1,105 (67.2%) were women. Mean age was similar in both genders (p=0.817). Operative time has longer in the male (72.48±28.50) than in the female group (65.46±24.83, p<0.001). The rate of acute cholecystitis was higher in the male (14.3%) than in the female group (5.1%, p<0.001). There was no difference between the genders in regard to the rate of conversion (p=1.0), intraoperative complication (p=1.0), postoperative complication (p=0.571), and operative mortality (p=1.0). Conclusion: Male gender is not an independent risk factor for laparoscopic conversion and perioperative complications.

The role of laparoscopic cholecystectomy in the management of acute cholecystitis in patients with sickle cell disease

2002 ◽  
Vol 183 (6) ◽  
pp. 668-672 ◽  
Author(s):  
Abdulrahman Saleh Al-Mulhim ◽  
Faisal Mohammed Al-Mulhim ◽  
Abdulmohsen Abdulla Al-Suwaiygh
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Sickle Cell Disease ◽  
Acute Cholecystitis ◽  
Sickle Cell ◽  
Cell Disease

scholarly journals THE ROLE OF LAPAROSCOPIC CHOLECYSTECTOMY IN ACUTE CHOLECYSTITIS

2018 ◽  
Vol 11 (1) ◽  
pp. 69-81
Author(s):  
HASSAN MUHSEN HASSAN ◽  
◽  
SARDAR HASSAN ARIF ◽  
MOWAFAK M. AL-NAKSHABANDI ◽  
◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis

Early versus delayed same-admission laparoscopic cholecystectomy for acute cholecystitis in elderly patients with comorbidities

2015 ◽  
Vol 78 (4) ◽  
pp. 801-807 ◽  
Author(s):  
Tobias Haltmeier ◽  
Elizabeth Benjamin ◽  
Kenji Inaba ◽  
Lydia Lam ◽  
Demetrios Demetriades
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Elderly Patients ◽  
Acute Cholecystitis

scholarly journals Analysis of the surgical treatment results for an acute cholecystitis in the senile and elderly patients, depending on term of the operative intervention performance

2020 ◽  
Vol 87 (9-10) ◽  
pp. 9-13
Author(s):  
S. M. Zavgorodniy ◽  
M. B. Danylyuk ◽  
A. І. Rylov ◽  
M. A. Kubrak ◽  
N. O. Yareshko ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Surgical Treatment ◽  
Elderly Patients ◽  
Acute Cholecystitis ◽  
Average Duration ◽  
Operative Intervention ◽  
Postoperative Treatment ◽  
Biliary Duct ◽  
Preoperative Preparation ◽  
Abdominal Drainage

Objective. To estimate the results of surgical treatment in the senile and elderly patients for an acute cholecystitis on background of biliary calculous disease in urgent abdominal surgery, depending on term of performance of operative intervention. Materials and methods. In the investigation there were included 89 patients, ageing 60-89 yrs old with diagnosis: an acute cholecystitis on background of biliary calculous disease. Median age of the patients have constituted (69.66 ± 7.30) yrs old. Results. All the patients were operated in urgent order, average duration of preoperative period was 20.00 (7.00; 27.00) h. Laparoscopic cholecystectomy with abdominal drainage was performed in 70 (78.7%) patients; laparotomy, cholecystectomy with abdominal drainage- in 14 (15.7%); laparotomy, cholecystectomy with drainage of common biliary duct - in 5 (5.6%). In 3 (4.3%) patients while performing of laparoscopic cholecystectomy the necessity have emerged for conversion due to hemorrhage from the gallbladder bed. Preoperative preparation in the senile and elderly patients during more than 24 h have led to significant improvement of their general state, comparing with those, who were operated in terms up to 24 h from the moment of admittance to hospital (U-criterion = 749.50; p = 0.0286). As well, in accordance to data, concerning postoperative period analysis, there was noted significant improvement of the patients’ state, preoperative preparation of whom lasted more than 24 h, comparing with the patients, preoperative preparation of whom lasted lesser than 24 h (U-criterion = 491.00; p < 0.0001). Average duration of stationary stay have differed in this two Groups (U-criterion = 919.00; p = 0.3984). Conclusion. The surgery deferred performance for an acute cholecystitis in the senile and elderly patients permits to improve the results of postoperative treatment and to reduce the frequency of postoperative complications significantly.

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