Abstract
Between Oct. 1992 - Jul. 1994, 948 cholecystectomies were performed in our clinic. Of 948 cases, 190 (20.5%) cases were in the geriatric age group (>65 years old). Open cholecystectomy (OC) was performed on 136 patients and laparoscopic cholecystectomy (LC) on 54 patients. Results in each group were compared with each other with respect to operating time, hospitalization time, morbidity and mortality.
Operating time was 48.7+3.0 minutes for the laparoscopic group compared with 55.2±2.4 minutes for the open cholecystectomy group and the difference was not significant statistically (p>0.05). Hospitalization in the LC group (1.4±0.8 days) was significally shorter than that of the open cholecystectomy group (5.2±0.3) days (p<0.05). Complications were encountered in 18 (13.2%) cases in the OC group, compared with only 3 (5.5%) cases in the LC group and this difference was also significant statistically (p<0.05). There was no mortality in either group.
Because of low complication rates and short hospitalization time and since there was not significant difference in operation time between the two methods, we consider that laparoscopic cholecystectomy can also be performed on the geriatric age group with confidence.
Geriatrik Hastalarda Açık ve Laparoskopik Kolesistektomi Sonuçları
Ekim 1992 - Temmuz 1994 arasındaki dönemde kliniğimizde 948 kolesistektomi yapıldı. 948 olgu içersinde 190 (%20.5) olgu geriatrik yaş (65 yaşın üzerinde) grubundaydı. Bu grupta 136 olguya açık kolesistektomi, 54 olguya laparaskopik kolesistektomi yapıldı. Her gruptaki sonuçlar operasyon süresi, hospitalizasyon süresi, morbidite ve mortalite yönünden karşılatırıldı. Operasyon süresi laparoskopik kolesistektomi grubunda 55.2+2.4 dk olup aradaki fark statistiksel olarak anlamlı değildi (p>0.05). Laparaskopik kolesistektomi grubundaki hospitalizasyon süresi (1.4±0.8 gün) açık kolesistektomi gru-bundakinden (5.2±0.3 gün) anlamlı derecede kısa idi (p>0.05). Komplikasyon açık ko¬lesistektomi grubunda 18 (%13.2), laparoskopik kolesistektomi grubunda 3 (%5.5) olup aradaki fark yine istatistiksel olarak anlamlı bulundu (p<0.05).
Sonuçta, düşük komplikasyon oranı, kısa hospitalizasyon süresi ve operasyon süresi bakımından iki grup arasında önemli fark olmaması nedeniyle laparoskopik ko-lesistektominin geriatrik yaş grubundaki hastalara da güvenle uygulanabileceği kanısındayız.
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| Primary Language | English |
|---|---|
| Journal Section | Basic Medical Sciences |
| Authors | |
| Publication Date | December 23, 2009 |
| Submission Date | December 16, 2009 |
| Published in Issue | Year 1997 Volume: 14 Issue: 2 |
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