| Autor: |
Fabrizio D'Acapito, Leonardo Solaini, Daniela Di Pietrantonio, Francesca Tauceri, Maria Teresa Mirarchi, Elena Antelmi, Francesca Flamini, Alessio Amato, Massimo Framarini, Giorgio Ercolani |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
World journal of clinical cases. 10(24) |
| ISSN: |
2307-8960 |
| Popis: |
Incidence of gallstones in those aged ≥ 80 years is as high as 38%-53%. The decision-making process to select those oldest old patients who could benefit from cholecystectomy is challenging.To assess the risk of morbidity of the "oldest-old" patients treated with cholecystectomy in order to provide useful data that could help surgeons in the decision-making process leading to surgery in this population.A retrospective study was conducted between 2010 and 2019. Perioperative variables were collected and compared between patients who had postoperative complications. A model was created and tested to predict severe postoperative morbidity.The 269 patients were included in the study (193 complicated). The 9.7% of complications were grade 3 or 4 according to the Clavien-Dindo classification. Bilirubin levels were lower in patients who did not have any postoperative complications. American Society of Anesthesiologists scale 4 patients, performing a choledocholithotomy and bilirubin levels were associated with Clavien-Dindo2 complications (Patients with American Society of Anesthesiologists scale 4, higher level of bilirubin and need of choledocholithotomy are at the highest risk of a severely complicated postoperative course. Alternative endoscopic or percutaneous treatments should be considered in this subgroup of octogenarians. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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