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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12001/1927

 
Title :[原著]当院における高齢者(75歳以上)腹腔鏡下胆嚢摘出術の検討
Title alternative :Evaluation of Laparoscopic Cholecystectomy (LC) in elderly (patients over 75 years of age) in Ohama Daiichi Hospital
Authors :下地, 克正
金城, 治
大城, 淳
上原, 協
國吉, 幸男
Authors alternative :Shimoji, Katumasa
Kinjo, Osamu
Oshiro, Jun
Uehara, Kanou
Kuniyoshi, Yukio
Authors affiliation :大浜第一病院外科
琉球大学医学部附属病院生体制御医科学講座機能制御外科学
Issue Date :2008
Publisher :琉球医学会
Type Local :雑誌掲載論文
Type (NII) :Journal Article
ISSN :1346-888X
0289-1530
Abstract :The results in 16 patients over 75 years of age or older (Group A) were compared with those of 50 patients under 75 years of age (Group B) between November 2002 and March 2005. Main outcome measures were operative time, conversion to open cholecystectomy (OC) , hospital stay, morbidity and mortality. RESULTS: The mean operative time was 91.9 min in Group A and 88.5 min in Group B. Three patients (18.8%) in Group A underwent conversion to OC because of adhesion, inflammation and CBD stones. Six patients (12%) in Group B underwent conversion to OC for the same reasons. There were no intraoperative complications. Postoperatively, 4 patients (25%) in Group A exhibited wound infection, biloma, gout, and asthma attack. In Group B, 4 patients (8%) exhibited wound infection, CBD stone and asthma attack. The mean hospital stay was 15.3 days in Group A and 8.7 days in Group B. CONCLUSION: Group A had a longer hospital stay and more postoperative complications. Laparoscopic cholecystectomy can be a safe procedure with low morbidity in patients over 75 years older.
Rights :琉球医学会
URI :http://hdl.handle.net/20.500.12001/1927
Citation :琉球医学会誌 = Ryukyu Medical Journal Vol.27 no.1・2 p.19 -22
Appears in Collections:Ryukyu Medical Journal

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