Universität zu Köln

Ambe, Peter C., Weber, Sebastian A., Christ, Hildegard ORCID: 0000-0003-3235-2994 and Wassenberg, Dirk (2015). Primary cholecystectomy is feasible in elderly patients with acute cholecystitis. Aging Clin. Exp. Res., 27 (6). S. 921 - 927. NEW YORK: SPRINGER. ISSN 1720-8319

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Abstract

While early cholecystectomy is generally accepted as the standard procedure for young and fit patients with acute cholecystitis, controversy exits on the management of elderly and severely sick patients. We postulated that primary cholecystectomy is feasible in this subgroup. The aim of this study was to compare the outcomes of young and fit patients to those of elderly patients undergoing surgery for acute cholecystitis. The outcomes of elderly patients (a parts per thousand yen70 years) undergoing surgery for acute cholecystitis in a primary care center in Germany were retrospectively compared to those of younger patients (< 70 years). 152 patients, 74 aged a parts per thousand yen 70 years (study group) and 78 < 70 years (control) were included for analysis. The study group was significantly older at the time of surgery (78 vs. 68 years, p = 0.02). Severe cholecystitis was seen in a significant number of cases in the study group, p = 0.01. Equally, the mean WBC (19.5 vs. 17, p = 0.02), CRP (26 vs. 22, p = 0.04) and APACHE II score (17 vs. 8, p = 0.01) were significantly higher in the study group. There was no significant difference in the duration of anesthesia (123 vs. 133 min, p = 0.70) and surgery (72 vs. 81 min, p = 0.90) amongst both groups. There was no significant difference in rate of complication amongst both groups (24 vs. 14 %, p = 0.11). Two cases of mortality were recorded (1.3 %) in the study group. The age of the patient cannot be the sole factor in deciding whether or not a patient with acute cholecystitis is fit for surgery.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ambe, Peter C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Weber, Sebastian A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Christ, Hildegard UNSPECIFIED orcid.org/0000-0003-3235-2994 UNSPECIFIED Wassenberg, Dirk UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-385629
DOI:	10.1007/s40520-015-0361-0
Journal or Publication Title:	Aging Clin. Exp. Res.
Volume:	27
Number:	6
Page Range:	S. 921 - 927
Date:	2015
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1720-8319
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language DELAYED LAPAROSCOPIC CHOLECYSTECTOMY; ACUTE ACALCULOUS CHOLECYSTITIS; PERCUTANEOUS CHOLECYSTOSTOMY; ILL PATIENTS; MANAGEMENT; OUTCOMES; CLASSIFICATION; COMPLICATIONS; DISEASE; SEPSIS Multiple languages Geriatrics & Gerontology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/38562