6533b828fe1ef96bd12894d7
RESEARCH PRODUCT
Open mini-invasive cholecystectomy in high risk elderly. A review of 121 consecutive procedures.
G. AmatoGiuseppe SalamoneG. RomanoA. AgrusaV. SaladinoG. Gulottasubject
Aged 80 and overMaleLaparotomyTime FactorsCost-Benefit AnalysisFrail ElderlyLength of StayMiddle AgedRisk AssessmentRadiographySettore MED/18 - Chirurgia GeneraleTreatment OutcomeCholecystectomy LaparoscopicCholelithiasisRisk FactorsHumansMinimally Invasive Surgical ProceduresCholecystectomyFemaleopen mini-invasive cholecystectomyAgedRetrospective Studiesdescription
INTRODUCTION: the report describes the features of a low cost, open mini-invasive procedure for cholecystectomy in a sample of 121 consecutive high risk elderly (ASA score 3 to 5). PATIENTS AND METHODS: the surgery is performed through a 3 - 4 cm right subcostal skin incision. An optimal exposition of the operating field was achieved thanks to an innovative three valve retractor. RESULTS: a mean hospital stay of 3,02 days, low complication rate and 2,4% mortality are the results of the described procedure. CONCLUSIONS: in high risk elderly the results are extremely encouraging, particularly in comparison with both laparoscopic and traditional open cholecystectomy. The open minisurgical cholecystectomy could be considered a cost-effective alternative to laparoscopy, with excellent results in this subset of patients. The described mini-surgical procedure can also integrate the laparoscopic in case of conversion.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2011-01-15 |