Granados-Romero JJ, Cabal-Jiménez KE, Martínez-Carballo G, Nieva-Kehoe R, Londaiz-Goméz R

Language: Spanish
References: 16
Page: 271-275
PDF size: 47.75 Kb.

ABSTRACT

Introduction: The experience is presented in the laparoscopic cholecystectomy in 61 patients of age 60 years in a 5-year period. Material and method: Female patients were 41 (67.2%) and there were 20 males (32.7%), 37 patients (age range 60-70 years and 24, than 71 years of age, with elective surgery in 57 patients (93.4%) and emergency surgery, four patients (6.5%). Concerning antecedents there were 15 patients with diabetes mellitus type 2 and 14 with arterial hypertension, and 20 with other illnesses. Results: Four patients were diagnosed with choledocholithiasis by cholangiography and one case presented jaundice after 6 months of the operation. Three cases had conversion to open surgery (4.9%) two had hemorrhaged in the hepatic channel, and in one case for billiary flight of the cystic one for bad staple placement. Complications in seven patients (11.4%) were postoperative bradycardia, hepatic channel hemorrhage of the metabolic decompensation, and precordial pain. Hospital stay was on average 48 h and return to daily activities was on average 7 days. Pathology reports in 45 patients were cholesterolosis and chronic cholecystitis, 10 with acute cholecystitis, three with purulent cholecystitis, and three with other diseases such as vesicular polyps and hydrocholecystitis. Discussion: Patients 60 years of age present a greater risk of complications for metabolic decompensation; however, laparoscopic surgery diminishes this risk and this should considered as the surgical choice for vesicular pathology.

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