YAŞLI HASTALARDA ERCP SONRASI KOLESİSTEKTOMİ SONUÇLARI

Year 2024, , 490 - 495, 21.10.2024

Emre Ballı , Fatih Gürsoy , Kübra Ertekin

https://doi.org/10.18229/kocatepetip.1447760

Abstract

AMAÇ: Bu çalışma ile endoskopik retrograd kolanjiopankreatikografi (ERCP) sonrası yapılan kolesistektomi operasyonlarında ileri yaşın laparaskopik kolesistektomi için bir risk faktörü olup olmadığının değerlendirilmesi amaçlanmıştır.
GEREÇ VE YÖNTEM: 01.01.2021 – 01.05.2023 tarihleri arasında Afyonkarahisar Sağlık Bilimleri Üniversitesi Tıp Fakültesi Genel Cerrahi kliniğinde ERCP yapılan ve ERCP işlemi sonrasında ERCP’ye bağlı komplikasyon görülmeyen kolesistektomi yapılmış olan 246 hasta çalışmaya dahil edilmiştir. Hastaların sosyodemografik özellikleri, ameliyat sonrası hastanede kalış süreleri, ameliyat sonrası komplikasyon durumları, laparoskopiden açık ameliyata geçme durumları ve ASA (American Society Anesthesiologists) skorları karşılaştırılmıştır.
BULGULAR: Yaşlara göre ayrılan hasta grupları incelendiğinde postoperatif komplikasyon açısından istatistiksel anlamda fark olmadığı tespit edildi (p=0,433). Her iki grubun ameliyat sonrası hastanede kalış günleri karşılaştırıldığında 75 yaş ve üzeri hastaların, 75 yaş altı hastalara göre daha uzun süre hastanede kaldıkları görülmüştür (p<0,001). Açık ameliyata geçme oranları arasında ise herhangi bir istatistiksel fark olmadığı görülmüştür (p=0,539).
SONUÇ: Mevcut çalışma sonuçları bizlere semptomatik safra kesesi ve safra yolları taşı olan hastalarda yaşa bağlı olmaksızın hastaların tamamlayıcı tedavilerinin yapılması gerektiğini göstermektedir. Yaşlılık, ERCP sonrası laparoskopik kolesistektomi yapılması için bir risk faktörü değildir.

Keywords

ERCP, Kolesistektomi, Komplikasyonlar, Yaşlı.

RESULTS OF CHOLECYSTECTOMY AFTER ERCP IN ELDERLY PATIENTS

Abstract

OBJECTIVE: The purpose of this study was to determine if being older increases the risk of laparoscopic cholecystectomy in cholecystectomy operations performed after endoscopic retrograde cholangiopancreatography (ERCP).
MATERIAL AND METHODS: 246 patients who underwent ERCP at the General Surgery Clinic of Afyonkarahisar Health Sciences University between 01.01.2021 and 01.05.2023 and who underwent cholecystectomy without any ERCP-related complications after the ERCP procedure were included in the study. The sociodemographic characteristics of the patients, postoperative hospital stay, postoperative complications, converting from laparoscopy to open surgery, and ASA (American Society Anesthesiologists) scores were compared.
RESULTS: Upon analyzing the patient groups based on age, it was found that there was no significant variation in terms of postoperative complications (p = 0.433). Patients 75 years of age and older stayed in the hospital longer than patients under 75 years of age (p<0.001), according to a comparison of the postoperative hospital stay days of the two groups. It was observed that there was no statistical difference between the rates of converting to open surgery (p = 0.539).
CONCLUSIONS: The current study results show us that complementary treatments should be applied to patients with symptomatic gallbladder and biliary stones, regardless of age. Old age is not a risk factor for laparoscopic cholecystectomy after ERCP.

Keywords

ERCP, Cholecystectomy, Complications, Elderly

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