Your browser doesn't support javascript.
loading
The Safety of Minimally Invasive and Open Cholecystectomy in Elderly Patients With Acute Cholecystitis: A Systematic Review.
Montenegro, Diana M; Chukwu, Michael; Ehsan, Paghunda; Aburumman, Rawia N; Muthanna, Shivani Ishwarya; Menon, Swathi Radhakrishnan; Vithani, Vruti; Sutariya, Bansi; Yu, Ann Kashmer.
Afiliación
  • Montenegro DM; General Surgery, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
  • Chukwu M; General Surgery, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
  • Ehsan P; Emergency Department, Pilgrim Hospital Boston, Boston, GBR.
  • Aburumman RN; Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
  • Muthanna SI; Internal Medicine, Hayatabad Medical Complex, Peshawar, PAK.
  • Menon SR; Internal Medicine, Lady Reading Hospital, Peshawar, PAK.
  • Vithani V; Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
  • Sutariya B; General Medicine, Mu'tah University, Amman, JOR.
  • Yu AK; Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Cureus ; 14(11): e31170, 2022 Nov.
Article en En | MEDLINE | ID: mdl-36483891
Elderly patients with acute cholecystitis (AC) often receive no surgical treatment due to a high number of comorbidities and a high risk of operations. With an increasingly aged population worldwide, this systematic review aims to review the safety of minimally invasive cholecystectomy and open cholecystectomy in this population compared to younger patients. A systematic search was conducted on PubMed, PubMed Central, and Google Scholar databases on July 2, 2022. Articles in the English language published in the last five years with free full text and involving elderly patients with AC treated with minimally invasive and open cholecystectomy were selected. Moreover, a quality assessment was carried out by using each study's most commonly used assessment tools. Initially, the search yielded 1,252 potentially relevant articles. After the final selection process, 11 studies were included: one cross-sectional study, eight cohort studies, one case-control study, and one systematic review with meta-analyses. These studies involved a total of 378,986 participants, with 375,623 elderly patients. In the elderly, cholecystitis severity, decreased physical status, and multiple comorbidities increase the risk of complications with cholecystectomy. In addition, the elderly had more complications, open surgery conversions, biliary tract injuries, leaks, postoperative mortality, and hospital length of stay than younger patients. Nevertheless, minimally invasive cholecystectomy is a viable treatment option for elderly patients when performing a thorough perioperative assessment.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies / Systematic_reviews Idioma: En Revista: Cureus Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies / Systematic_reviews Idioma: En Revista: Cureus Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos