Colecistectomía laparoscópica en pacientes mayores de 80 años / Laparoscopic cholecystectomy in patients aged 80 and over

RESUMEN

Introducción: con el aumento de la esperanza de vida de la población, aumenta la prevalencia de litiasis biliar sintomática. Es importante analizar su tratamiento quirúrgico en ancianos. Método: se incluyó en el estudio a todos los pacientes con edad ≥ 80 años intervenidos en nuestro servicio de cirugía general mediante colecistectomía laparoscópica entre 1992 y2007.Resultados: se realizó colecistectomía laparoscópica a 133 pacientes mayores de 80 años(media, 83,23 años; el 63% mujeres); predominaban en ellos los diagnósticos de cólico biliar(29%) y pancreatitis aguda (44%). El 73% presentaba comorbilidades. Sólo el 7,5% precisó intervención quirúrgica urgente, a pesar de que el 71% ingresó de manera urgente. Hubo un 13,5% de conversiones, un 17% de morbilidad y un 2,3% de mortalidad. Conclusiones: la colecistectomía laparoscópica puede ser recomendada en ancianos concolelitiasis sintomática (AU)

ABSTRACT

Introduction: the increasing aging of the population also increases the prevalence of symptomatic gallbladder diseases. It is important to analyse their surgical treatment in the elderly. Methods: All the laparoscopic cholecystectomies performed in our surgery department on patients aged 80 years-old or over from 1992 to 2007 were included in this study. Results: laparoscopic cholecystectomy was performed on 133 patients 80 years-old and over, with 63% of them women, and an average age of 83.23 years. Biliary colic (29%) and acute pancreatitis (44%) were the main reasons for surgery. Associated diseases were found in 73% of them. Only 7.5% needed urgent surgery, even although 71% were admitted urgently. There were 13.5% conversions to open surgery, 17% morbidity and 2.3% mortality. Conclusions: laparoscopic cholecystectomy can be recommended in symptomatic gallbladder disease in the elderly (AU)