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dc.contributor.authorEkici, Uğur
dc.contributor.authorYılmaz, Serhan
dc.contributor.authorTatlı, Faik
dc.date.accessioned2024-03-19T23:29:29Z
dc.date.available2024-03-19T23:29:29Z
dc.date.issued2018en_US
dc.identifier.issn2168-8184
dc.identifier.urihttps://hdl.handle.net/11363/7232
dc.description.abstractBackground: The elderly population is gradually increasing due to an increase in the quality of life and therefore the frequency of gallbladder stones in the population is also increasing. However, a considerable number of physicians tend to postpone or solve the problem with medical treatment instead of performing surgery in the elderly patients. In this study, we aim to compare the outcomes of laparoscopic cholecystectomy (LC) in the elderly and younger patients. Material and Methods: The medical records of 665 patients undergoing LC were evaluated retrospectively. The patients were divided into two groups: ≥60 years of age and <60 years of age. Ages, genders, comorbid diseases, indications of surgery, American Society of Anesthesiologists scores, whether it is converted to an open cholecystectomy or not, reasons for conversion if it is converted, total duration of surgery, initiation of oral nutrition, duration of discharge, and postoperative complications of the patients in both groups were recorded. Results: The American Society of Anesthesiologists scores were statistically significantly higher in ≥60 years age group (p<0.001). The rate of experiencing acute cholecystitis with a stone in the gallbladder was significantly higher in the 60 years group (p=0.025). Comorbidity was statistically significantly higher in the ≥60 years age group (p<0.001). Hospitalization period, the mean hour of initiation of oral nutrition were statistically significantly higher in the ≥60 years age group (p<0.001, p=0.001). Conversion to an open cholecystectomy and postoperative complication rates of the ≥60 years age group were statistically significantly higher (p=0.034, p<0.001). Conclusion: We think that LC can be safely performed in the elderly people as well. However, it should be kept in mind that comorbidity may make the surgery and postoperative follow-up period complicated.en_US
dc.language.isoengen_US
dc.publisherCUREUS INC, PO BOX 61002, PALO ALTO, CA 94306en_US
dc.relation.isversionof10.7759/cureus.2888en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectlaparoscopic cholecystectomyen_US
dc.subjectcholelithiazisen_US
dc.subjectsenilityen_US
dc.subjectcomplicationen_US
dc.subjectmortalityen_US
dc.subjectmorbidityen_US
dc.subjectgall bladderen_US
dc.subjectconversion to openen_US
dc.titleComparative Analysis of Laparoscopic Cholecystectomy Performed in the Elderly and Younger Patients: Should We Abstain from Laparoscopic Cholecystectomy in the Elderly?en_US
dc.typearticleen_US
dc.relation.ispartofCUREUS JOURNAL OF MEDICAL SCIENCEen_US
dc.departmentSağlık Bilimleri Fakültesien_US
dc.authoridhttps://orcid.org/0000-0002-2660-3120en_US
dc.identifier.volume10en_US
dc.identifier.issue6en_US
dc.identifier.startpage1en_US
dc.identifier.endpage6en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.institutionauthorEkici, Uğur


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