Laparoscopic cholecystectomy in the elderly: Analysis of pre-operative risk factors and postoperative complications

1995 ◽  
Vol 10 (5) ◽  
pp. 517-522 ◽  
Author(s):  
KENICHI IDO ◽  
TAKANORI SUZUKI ◽  
KEN KIMURA ◽  
YUSHI TANIGUCHI ◽  
CHIAKI KAWAMOTO ◽  
...  
Keyword(s):  
Risk Factors ◽  
Laparoscopic Cholecystectomy ◽  
Postoperative Complications ◽  
The Elderly ◽  
Operative Risk

scholarly journals A prospective cohort study of older colorectal cancer surgical patients: an association of post-operative clinical outcome with sarcopenia, frailty, and nutritional status [Protocol] (Preprint)

2019 ◽  
Author(s):  
Nia Humphry
Keyword(s):  
Colorectal Cancer ◽  
Risk Factors ◽  
Nutritional Status ◽  
Significant Proportion ◽  
The Elderly ◽  
Operative Risk ◽  
Surgical Patients ◽  
Clinical Frailty Scale ◽  
Colorectal Cancer Surgery ◽  
Colorectal Cancer Resection

UNSTRUCTURED Older patients account for a significant proportion of patients undergoing colorectal cancer surgery, and are vulnerable to a number of pre-operative risk factors that are not often present in younger patients. Three pre-operative risk factors more prevalent in the elderly are frailty, sarcopenia, and malnutrition. Whilst each of these has been studied in isolation, there is little information on the interplay between them in older surgical patients. One particular area of increasing interest is the use of urine metabolomics for objective evaluation of dietary profiles and malnutrition. Herein we describe the design, cohort, and standard operating procedures of a planned prospective study of older surgical patients undergoing colorectal cancer resection across multiple institutions in the United Kingdom. These procedures include serial frailty evaluations (Clinical Frailty Scale and Groningen Frailty Indicator), functional assessments (with hand grip strength and 4-metre walk test), muscle mass evaluations using computerized tomography morphometric analysis and evaluation of nutritional status using analysis of urinary dietary biomarkers. As these are all areas of common derangement in the elderly surgical population, prospectively studying them in concert will allow for analysis of their interplay as well as the development of predictive models for those at risk for commonly tracked surgical complications and outcomes.

The operative risk factors of cholelithiasis in the elderly

Surgery Today ◽  
1992 ◽  
Vol 22 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Nagao Shinagawa ◽  
Keiji Mashita ◽  
Jiro Yura
Keyword(s):  
Risk Factors ◽  
The Elderly ◽  
Operative Risk

scholarly journals Risk Factors for Postoperative Complications among the Elderly after Plastic Surgery Procedures Performed under General Anesthesia

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Kiyoko Fukui ◽  
Masaki Fujioka ◽  
Kazumi Yamasaki ◽  
Sho Yamakawa ◽  
Haruka Matsuo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Postoperative Complications ◽  
General Anesthesia ◽  
Plastic Surgery ◽  
Medical Center ◽  
Performance Status ◽  
Multiple Logistic Regression Analysis ◽  
The Elderly ◽  
Albumin Level ◽  
Hospital Organization

Background. The frequency of surgery involving elderly patients has been increasing. The use of free tissue transfers in the elderly has been examined previously (Howard et al., 2005, Hwang et al., 2016, Grammatica et al., 2015, Serletti et al., 2000, and Sierakowski et al., 2017), whereas there have not been any such studies of plastic surgery procedures. We evaluated the risk factors for complications after plastic surgery procedures performed under general anesthesia in patients aged ≥75 years. Methods. The cases of patients aged ≥75 years who underwent plastic surgery procedures under general anesthesia at the Department of Plastic and Reconstructive Surgery, National Hospital Organization Nagasaki Medical Center, between 2009 and 2016 were reviewed retrospectively. Multiple logistic regression analysis was used to identify the risk factors for postoperative complications. Results. Two hundred and sixty-three cases were reviewed. Complications were seen in 137 patients. Age was not predictive of complications. The risk factors included a serum albumin level of <2.8 g/dl (odds ratio (OR): 2.96), an operative time of ≥120 min (OR: 6.22), and an American Society of Anesthesiologists performance status of ≥3 (OR: 2.39). Conclusions. Age is not contraindication for surgery in the elderly. It is important to assess comorbidities and perform surgical procedures as soon as possible to shorten the surgical period.

scholarly journals Operative Risk Factors of Colon Resection in the Elderly

1980 ◽  
Vol 192 (6) ◽  
pp. 743-746 ◽  
Author(s):  
J. BARRY BOYD ◽  
BERT BRADFORD ◽  
ALVIN L. WATNE
Keyword(s):  
Risk Factors ◽  
The Elderly ◽  
Colon Resection ◽  
Operative Risk

scholarly journals Preoperative and Operative Risk Factors for Conversion of Laparoscopic Cholecystectomy to Open Cholecystectomy in Pakistan

Cureus ◽  
2019 ◽  
Author(s):  
Amina Amin ◽  
Muhammad Ijlal Haider ◽  
Iram S Aamir ◽  
Muhammad Sohaib Khan ◽  
Usama Khalid Choudry ◽  
...  
Keyword(s):  
Risk Factors ◽  
Laparoscopic Cholecystectomy ◽  
Open Cholecystectomy ◽  
Operative Risk

scholarly journals Safety of Laparoscopic Cholecystectomy for Acute Cholecystitis in the Elderly: A Multivariate Analysis of Risk Factors for Intra and Postoperative Complications

Medicina ◽  
2021 ◽  
Vol 57 (3) ◽  
pp. 230
Author(s):  
Dragos Serban ◽  
Bogdan Socea ◽  
Simona Andreea Balasescu ◽  
Cristinel Dumitru Badiu ◽  
Corneliu Tudor ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Postoperative Complications ◽  
Hospital Stay ◽  
Acute Cholecystitis ◽  
Open Cholecystectomy ◽  
The Elderly ◽  
Early Postoperative Period ◽  
Invasive Approach ◽  
Physical Status Classification ◽  
The Impact

Background and Objectives: This study investigates the impact of age upon the safety and outcomes of laparoscopic cholecystectomy performed for acute cholecystitis, by a multivariate approach. Materials and Methods: A 2-year retrospective study was performed on 333 patients admitted for acute cholecystitis who underwent emergency cholecystectomy. The patients included in the study group were divided into four age subgroups: A ≤49 years; B: 50–64 years; C: 65–79 years; D ≥80 years. Results: Surgery after 72 h from onset (p = 0.007), severe forms, and higher American Society of Anesthesiologists Physical Status Classification and Charlson comorbidity index scores (p < 0.001) are well correlated with older age. Both cardiovascular and surgical related complications were significantly higher in patients over 50 years (p = 0.045), which also proved to be a turning point for increasing the rate of conversion and open surgery. However, the comparative incidence did not differ significantly between patients aged from 50–64 years, 65–79 years and over 80 years (6.03%, 9.09% and 5.8%, respectively). Laparoscopic cholecystectomy (LC) was the most frequently used surgical approach in the treatment of acute cholecystitis in all age groups, with better outcomes than open cholecystectomy in terms of decreased overall and postoperative hospital stay, reduced surgery related complications, and the incidence of acute cardiovascular events in the early postoperative period (p < 0.001). Conclusions: The degree of systemic inflammation was the main factor that influenced the adverse outcome of LC in the elderly. Among comorbidities, diabetes was associated with increased surgical and systemic postoperative morbidity, while stroke and chronic renal insufficiency were correlated with a high risk of cardiovascular complications. With adequate perioperative care, the elderly has much to gain from the benefits of a minimally invasive approach, which allows a decreased rate of postoperative complications and a reduced hospital stay.

Risk factors for postoperative complications in the elderly with lung cancer

2013 ◽  
Vol 21 (3) ◽  
pp. 313-318 ◽  
Author(s):  
Fumihiro Ogawa ◽  
Guoqin Wang ◽  
Yoshio Matsui ◽  
Hidenori Hara ◽  
Akira Iyoda ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lung Cancer ◽  
Postoperative Complications ◽  
The Elderly

scholarly journals Laparoscopic cholecystectomy for a cholelithiasis patient with an aberrant biliary duct of B5: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Takuto Suzuki ◽  
Yoh Asahi ◽  
Akifumi Sawada ◽  
Kohei Umemoto ◽  
Masaya Kina ◽  
...  
Keyword(s):  
Risk Factors ◽  
Abdominal Pain ◽  
Laparoscopic Cholecystectomy ◽  
Postoperative Complications ◽  
Biliary Tract ◽  
Hepatic Duct ◽  
Preoperative Imaging ◽  
Biliary Duct ◽  
Case Presentation ◽  
Surgical Department

Abstract Background An aberrant biliary duct of segment 5 (B5) is a rare anomaly of the biliary tract. All anatomical anomalies of the biliary tract are risk factors for bile duct injury during surgery. We report a case of cholelithiasis with an aberrant B5 that was detected during a detailed preoperative imaging examination and treated with laparoscopic cholecystectomy. Case presentation A 69-year-old woman was admitted to the emergency room of our hospital with abdominal pain. She was diagnosed with cholelithiasis, and an aberrant B5 branching off the hepatic duct was suggested during preoperative imaging. Laparoscopic cholecystectomy was performed at our surgical department. There were no intra- or postoperative complications, and the patient was discharged on the fourth day after surgery. Conclusions Laparoscopic cholecystectomy can be safely performed without intra- or postoperative complications in patients with cholelithiasis and an aberrant B5 if it is accurately diagnosed preoperatively.

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