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• W2069984604 abstract "In the current article, we analyse the results and complications of laparoscopic cholecystectomy in octogenarian patients. Retrospective study in patients older than 80 years, who underwent laparoscopic cholecystectomy between January 2002 and August 2007. Variables analysed were presentation, physical condition, anaesthetic risk, conversion rate, morbidity, and hospital stay. A comparison was made with patients aged between 70 and 79 years old. The c2 and Student t tests were used for statistical analysis. The level of significance was defined as a P value less than 0.05. A total of 64 patients were operated on, of which 39 (63%) were women and 25 men, with a mean age 83.7 years. Surgery was scheduled in 40 (62.5%) cases and urgent in 24 cases. The conversion rate to open cholecystectomy was 10.9% and the average hospital stay was 3.9 days. Two patients required re-intervention and 2 patients died. Laparoscopic cholecystectomy is the treatment of choice for symptomatic cholelithiasis in octogenarians. The laparoscopic approach should be considered for the management of acute cholecystitis in the very old (except where contraindicated) before the development of complications. En el presente artículo analizamos los resultados y complicaciones de la colecistectomía laparoscópica en octogenarios. Estudio retrospectivo sobre pacientes con edad ≥80 años, sometidos a una colecistectomía laparoscópica entre enero de 2002 y agosto de 2007. Los parámetros analizados fueron: presentación, estado general, riesgo anestésico, tasa de conversión, morbilidad y estancia hospitalaria. Se realizó una comparación con pacientes geriátricos de entre 70 y 79 años. Para el análisis estadístico utilizamos la prueba de la c2 y la t de Student. La significación se estableció para valores de p < 0,05. Se intervino a 64 pacientes (el 63%, mujeres), con una media de edad de 83,7 años. La cirugía fue programada en 40 (62,5%) casos y urgente en 24. La tasa de conversión fue del 10,9% y la media de estancia hospitalaria, 3,9 días. Dos enfermos fueron reoperados y hubo dos decesos. La colecistectomía laparoscópica es la técnica de elección para el tratamiento de la colelitiasis sintomática en octogenarios. La colecistitis aguda del anciano debe ser tratada mediante abordaje laparoscópico, salvo contraindicación, preferentemente antes de que aparezcan complicaciones." @default.
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• W2069984604 date "2009-01-01" @default.
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• W2069984604 title "Laparoscopic cholecystectomy in octogenarian patients. A comparative study between two geriatric population groups" @default.
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• W2069984604 doi "https://doi.org/10.1016/s2173-5077(09)70140-1" @default.
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