TY - JOUR
T1 - Cholecystectomy in patients above 70
T2 - review of 153 cases
AU - Reiss, R.
AU - Hoffman, S.
AU - Deutsch, A. A.
PY - 1982
Y1 - 1982
N2 - Advances in surgery and anesthesia have revolutionized the surgical care of the biliary tract in the geriatric age group. This report deals with 153 patients aged 70 and over, and with a series of 1000 consecutive cholecystectomies. All data were computer analyzed. The following principles were used: Early surgery was performed within 48 hours after full diagnostic investigation and adequate preparation in all patients with acute or subacute complications. One stage definitive procedure including cholecystectomy, operative cholangiography, and complete correction of pathology in the common bile duct were preferred to temporary measures such as cholecystostomies. Careful anesthesia management before, during, and after surgery. The mortality in this series was 2.6% only, considerably lower than other reported series in this age group. Complicating factors, such as infected bile, jaundice, choledochal stones and gangrenous changes are much more frequent in elderly patients than in other groups. The principles outlined combining early surgery, complete correction of biliary pathology, and intensive postoperative care whenever needed, have resulted in dramatic reduction of mortality and morbidity in the elderly patient.
AB - Advances in surgery and anesthesia have revolutionized the surgical care of the biliary tract in the geriatric age group. This report deals with 153 patients aged 70 and over, and with a series of 1000 consecutive cholecystectomies. All data were computer analyzed. The following principles were used: Early surgery was performed within 48 hours after full diagnostic investigation and adequate preparation in all patients with acute or subacute complications. One stage definitive procedure including cholecystectomy, operative cholangiography, and complete correction of pathology in the common bile duct were preferred to temporary measures such as cholecystostomies. Careful anesthesia management before, during, and after surgery. The mortality in this series was 2.6% only, considerably lower than other reported series in this age group. Complicating factors, such as infected bile, jaundice, choledochal stones and gangrenous changes are much more frequent in elderly patients than in other groups. The principles outlined combining early surgery, complete correction of biliary pathology, and intensive postoperative care whenever needed, have resulted in dramatic reduction of mortality and morbidity in the elderly patient.
UR - http://www.scopus.com/inward/record.url?scp=0020026120&partnerID=8YFLogxK
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AN - SCOPUS:0020026120
SN - 0027-2507
VL - 49
SP - 71
EP - 75
JO - Mount Sinai Journal of Medicine
JF - Mount Sinai Journal of Medicine
IS - 1
ER -