RESUMO
43 patients aged 60-84 years were operated on calculous cholecystitis. Patients were divided according to the operative technique: laparoscopic and traditional. The laparoscopic cholecystectomy demonstrated good early results. The goal of the study was to define criteria of the elderly patients selection for the laparoscopic operation.
Assuntos
Colecistectomia Laparoscópica/métodos , Colelitíase/cirurgia , Seleção de Pacientes , Cirurgia Vídeoassistida/métodos , Idoso , Idoso de 80 Anos ou mais , Colecistectomia Laparoscópica/normas , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Padrões de Prática Médica , Fatores de Tempo , Resultado do Tratamento , Cirurgia Vídeoassistida/normasRESUMO
Treatment results of 1048 elderly patients, operated on the cholelithiasis, were analyzed. The group of minilaparotomic access cholecystectomy numbered 488 (46,6%) patients; the second group consisted of 560 (53,4%) patients, who had the traditional operation. All patients were operated on in a single hospital during 1998-2008 yy. The cholecystectomy from minilaparotomic access proved to be less traumatic and preferable for elderly patients. The rate of postoperative morbidity was 5,7%, mortality - 0,2%. The procedure, though, is subjected to the experienced surgeons.