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- Publisher Website: 10.1007/s002689900148
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- PMID: 8798352
- WOS: WOS:A1996VH39700008
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Article: Laparoscopic cholecystectomy for acute cholecystitis in the elderly
Title | Laparoscopic cholecystectomy for acute cholecystitis in the elderly |
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Authors | |
Issue Date | 1996 |
Publisher | Springer New York LLC. The Journal's web site is located at http://link.springer.de/link/service/journals/00268/ |
Citation | World Journal Of Surgery, 1996, v. 20 n. 8, p. 983-987 How to Cite? |
Abstract | This study reviewed the results of laparoscopic cholecystectomy for acute cholecystitis in the elderly. Among 557 patients who underwent laparoscopic cholecystectomy, 70 (12.6%) had a clinical diagnosis of acute cholecystitis confirmed by ultrasonography. There were 28 men and 42 women with a mean age of 59.9 years (range 20-87 years). Thirty patients 65 years of age were compared to 40 patients < 65 years old. Elderly patients bad a higher female predominance (p < 0.05), a higher incidence of intercurrent diseases (p < 0.05), and a higher serum urea level (p < 0.001). The proportions of patients who underwent early or delayed surgery were comparable. There was no difference in operation time, postoperative analgesic requirements, or complications. Elderly patients, however, had a significantly higher conversion rate (23.3% versus 2.5%; p < 0.05). Even after successful laparoscopic cholecystectomy, there was a longer delay before ambulation (p < 0.05) and resumption of normal diet (p = 0.08) with resulting prolonged postoperative (p = 0.08) and total hospital stay (p < 0.05). Laparoscopic cholecystectomy is a safe, effective treatment for acute cholecystitis in the elderly. When compared to younger patients, elderly patients are at greater risk far conversion, delayed recovery, and prolonged hospital stay. |
Persistent Identifier | http://hdl.handle.net/10722/83649 |
ISSN | 2023 Impact Factor: 2.3 2023 SCImago Journal Rankings: 0.772 |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lo, CM | en_HK |
dc.contributor.author | Lai, ECS | en_HK |
dc.contributor.author | Fan, ST | en_HK |
dc.contributor.author | Liu, CL | en_HK |
dc.contributor.author | Wong, J | en_HK |
dc.date.accessioned | 2010-09-06T08:43:32Z | - |
dc.date.available | 2010-09-06T08:43:32Z | - |
dc.date.issued | 1996 | en_HK |
dc.identifier.citation | World Journal Of Surgery, 1996, v. 20 n. 8, p. 983-987 | en_HK |
dc.identifier.issn | 0364-2313 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/83649 | - |
dc.description.abstract | This study reviewed the results of laparoscopic cholecystectomy for acute cholecystitis in the elderly. Among 557 patients who underwent laparoscopic cholecystectomy, 70 (12.6%) had a clinical diagnosis of acute cholecystitis confirmed by ultrasonography. There were 28 men and 42 women with a mean age of 59.9 years (range 20-87 years). Thirty patients 65 years of age were compared to 40 patients < 65 years old. Elderly patients bad a higher female predominance (p < 0.05), a higher incidence of intercurrent diseases (p < 0.05), and a higher serum urea level (p < 0.001). The proportions of patients who underwent early or delayed surgery were comparable. There was no difference in operation time, postoperative analgesic requirements, or complications. Elderly patients, however, had a significantly higher conversion rate (23.3% versus 2.5%; p < 0.05). Even after successful laparoscopic cholecystectomy, there was a longer delay before ambulation (p < 0.05) and resumption of normal diet (p = 0.08) with resulting prolonged postoperative (p = 0.08) and total hospital stay (p < 0.05). Laparoscopic cholecystectomy is a safe, effective treatment for acute cholecystitis in the elderly. When compared to younger patients, elderly patients are at greater risk far conversion, delayed recovery, and prolonged hospital stay. | en_HK |
dc.language | eng | en_HK |
dc.publisher | Springer New York LLC. The Journal's web site is located at http://link.springer.de/link/service/journals/00268/ | en_HK |
dc.relation.ispartof | World Journal of Surgery | en_HK |
dc.title | Laparoscopic cholecystectomy for acute cholecystitis in the elderly | en_HK |
dc.type | Article | en_HK |
dc.identifier.openurl | http://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0364-2313&volume=20&spage=983&epage=987&date=1996&atitle=Laparoscopic+cholecystectomy+for+acute+cholecystitis+in+the+elderly | en_HK |
dc.identifier.email | Lo, CM: chungmlo@hkucc.hku.hk | en_HK |
dc.identifier.email | Fan, ST: stfan@hku.hk | en_HK |
dc.identifier.email | Wong, J: jwong@hkucc.hku.hk | en_HK |
dc.identifier.authority | Lo, CM=rp00412 | en_HK |
dc.identifier.authority | Fan, ST=rp00355 | en_HK |
dc.identifier.authority | Wong, J=rp00322 | en_HK |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1007/s002689900148 | en_HK |
dc.identifier.pmid | 8798352 | - |
dc.identifier.scopus | eid_2-s2.0-0029744299 | en_HK |
dc.identifier.hkuros | 24223 | en_HK |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-0029744299&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 20 | en_HK |
dc.identifier.issue | 8 | en_HK |
dc.identifier.spage | 983 | en_HK |
dc.identifier.epage | 987 | en_HK |
dc.identifier.isi | WOS:A1996VH39700008 | - |
dc.publisher.place | United States | en_HK |
dc.identifier.scopusauthorid | Lo, CM=7401771672 | en_HK |
dc.identifier.scopusauthorid | Lai, ECS=36932159600 | en_HK |
dc.identifier.scopusauthorid | Fan, ST=7402678224 | en_HK |
dc.identifier.scopusauthorid | Liu, CL=7409789712 | en_HK |
dc.identifier.scopusauthorid | Wong, J=8049324500 | en_HK |
dc.identifier.issnl | 0364-2313 | - |