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Wakasugi M, Tanemura M, Furukawa K, et al. Feasibility and safety of single-incision laparoscopic cholecystectomy in elderly patients: A single institution, retrospective case series. Ann Med Surg (Lond). 2017;22:30-33doi: 10.1016/j.amsu.2017.08.024.
Wakasugi, M., Tanemura, M., Furukawa, K., Tei, M., Suzuki, Y., Masuzawa, T., Kishi, K., & Akamatsu, H. (2017). Feasibility and safety of single-incision laparoscopic cholecystectomy in elderly patients: A single institution, retrospective case series. Annals of medicine and surgery (2012), 2230-33. https://doi.org/10.1016/j.amsu.2017.08.024
Wakasugi, Masaki, et al. "Feasibility and safety of single-incision laparoscopic cholecystectomy in elderly patients: A single institution, retrospective case series." Annals of medicine and surgery (2012) vol. 22 (2017): 30-33. doi: https://doi.org/10.1016/j.amsu.2017.08.024
Wakasugi M, Tanemura M, Furukawa K, Tei M, Suzuki Y, Masuzawa T, Kishi K, Akamatsu H. Feasibility and safety of single-incision laparoscopic cholecystectomy in elderly patients: A single institution, retrospective case series. Ann Med Surg (Lond). 2017 Sep 06;22:30-33. doi: 10.1016/j.amsu.2017.08.024. eCollection 2017 Oct. PMID: 28932394; PMCID: PMC5596353.
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Ann Med Surg (Lond). 2017 Sep 06;22:30-33. doi: 10.1016/j.amsu.2017.08.024. eCollection 2017 Oct.

Feasibility and safety of single-incision laparoscopic cholecystectomy in elderly patients: A single institution, retrospective case series.

Annals of medicine and surgery (2012)

Masaki Wakasugi, Masahiro Tanemura, Kenta Furukawa, Mitsuyoshi Tei, Yozo Suzuki, Toru Masuzawa, Kentaro Kishi, Hiroki Akamatsu

Affiliations

  1. Department of Surgery, Osaka Police Hospital, 10-31 Kitayama-cho, Tennouji-ku, Osaka 543-0035, Japan.

PMID: 28932394 PMCID: PMC5596353 DOI: 10.1016/j.amsu.2017.08.024

Abstract

INTRODUCTION: To evaluate the feasibility and safety of single-incision laparoscopic cholecystectomy (SILC) for uncomplicated gallbladder in elderly patients.

MATERIALS AND METHODS: A retrospective analysis of 810 patients undergoing SILC from May 2009 to October 2016 at Osaka Police Hospital was performed, and the outcomes of the patients aged < 80 years and the patients ≥ 80 years were compared.

RESULTS: The median operative times of patients <80 years and patients ≥80 years were 100 min and 110 min, respectively (p = 0.4). The conversion rates to a different operative procedure (multi-port laparoscopic cholecystectomy or open cholecystectomy) were 3% (22/763) of patients < 80 years and 0% of patients ≥ 80 years (p = 0.6). Perioperative complications were seen in 6% (46/763) of patients < 80 years and 17% (8/47) of patients ≥ 80 years (p < 0.05). Pneumonia was seen in 0% (0/763) of patients < 80 years and 4% (3/47) of patients ≥ 80 years (p < 0.05). There was no mortality in either group. The median postoperative hospital stay was 4 days for patients <80 years and 5 days for patients ≥80 years (p < 0.05).

CONCLUSION: SILC for uncomplicated gallbladder could be performed for patients ≥ 80 years with acceptable morbidity and mortality as compared with the previous reports, though the complication rate of patients ≥ 80 years was higher than that of patients < 80 years.

Keywords: Age; Laparoscopic cholecystectomy; Octogenarian; Single-incision laparoscopic cholecystectomy (SILC); Single-incision laparoscopic surgery (SILS)

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