LAPAROSCOPIC CHOLECYSTECTOMY FOR GALLBLADDER STONES IN THE ELDERLY PATIENTS AT HOP LUC GENERAL HOSPITAL

Đình Nơi Nguyễn , Bảo Long Trần

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Abstract

Objectives: To describe the clinical, sub-clinical findings and the results of laparoscopic cholecystectomy for gallbladder stones in the elderly patients at Hop Luc General Hospital. Subjects and methods: A descriptive study. All consecutive patients over sixty years of age who underwent laparoscopic cholecystectomy for gallbladder stones in Hop Luc General Hospital from January 2019 to June 2023. Results: Of sixty-five patients, thirty-seven were female and twenty-eight were male with the ratio of female and male was 1.3/1. Patients from 60 to 69 years of age accounted for 70.7 percent. ASA II was found in 55.6 percent of patients. Seven patients (10.8%) underwent previous abdominal procedures. The mean operative time was 51.09±22.8 minutes. Early complications after surgery: 1.5%. The good, medium results were 92.3%, 7.7%. Conclusion: Laparoscopic cholecystectomy for gallstones in elderly people is safe and effective.

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References

Reynolds W (2001). The first laparoscopic cholecystectomy. JSLS;5(1):89-94.
2. Agrusa A, Romano G, et al (2014). Role and outcomes of laparoscopic cholecystectomy in the elderly. Int J Surg. 12 Suppl 2:S37-S39. doi:10.1016/j.ijsu.2014.08.385
3. Lê Văn Duy (2017). Đánh giá kết quả phẫu thuật sỏi túi mật ở ngườicao tuổi tại Bệnh viện Bạch Mai. Luận văn Thạc sĩ y học. Trường Đại học Y Hà Nội.
4. Nguyễn Đình Quang (2020). Kết quả cắt túi mật nội soi do sỏi ở người bệnh cao tuổi tại Bệnh viện Đại học Y Hà Nội từ 01/2013-12/2019. Luận văn Chuyên khoa Cấp II. Trường Đại học Y Hà Nội.
5. Hafif A, Gutman M, Kaplan O, et al (1991). The management of acute cholecystitis in elderly patients. Am Surg. 57(10):648-652.
6. European Association for the Study of the Liver (EASL). Electronic address: easloffice@easloffice.eu. EASL Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones. J Hepatol. 2016; 65(1):146-181. doi:10.1016/j.jhep.2016.03.005
7. Okamoto K, Suzuki K, Takada T, et al (2018). Tokyo Guidelines 2018: flowchart for the management of acute cholecystitis. J Hepatobiliary Pancreat Sci. 25(1):55-72. doi: 10.1002/jhbp.516
8. Madni TD, Leshikar DE, Minshall CT, et al (2018). The Parkland grading scale for cholecystitis. Am J Surg. 215(4):625-630. doi: 10.1016/j.amjsurg.2017.05.017
9. Madni TD, Nakonezny PA, Barrios E, et al (2019). Prospective validation of the Parkland Grading Scale for Cholecystitis. Am J Surg.217(1): 90-97. doi:10.1016/j.amjsurg. 2018.08.005
10. Lê Trung Hải (2010). Phẫu thuật nội soi cắt túi mật do sỏi túi mật đơn thuần ở người cao tuổi. Số 3-2010. Tạp chí Y - Dược quân sự.