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首页> 外文期刊>Revista do Colégio Brasileiro de Cirurgies >Risk factors for elective laparoscopic cholecystectomy morbimortality in elderly.
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Risk factors for elective laparoscopic cholecystectomy morbimortality in elderly.

机译:老年人选择性腹腔镜胆囊切除术死亡率的危险因素。

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Objective: to identify risk factors for the occurrence of postoperative complications in laparoscopic cholecystectomies (LC) in elderly patients. Methods: an observational study with analysis of medical records of patients aged 60 years and older, submitted to elective LC at Gaffree e Guinle Universitary Hospital, from 2006 to 2018. Surgeries performed on an emergency basis or converted to the conventional technique were excluded from our study. Results: a total of 345 patients were included in our study, being 80% females and 62% aged 60-69 years. There were 39 cases of postoperative complications (11.3%), mostly (87%) classified as grades I or II of Clavien-Dindo surgical complication scale. There was only one death. The presence and the number of coexisting diseases and ASA II or III physical status classification of preoperative patients conferred a greater risk for the development of postoperative complications and mortality. Conclusion: our study identified the presence of coexisting diseases, as well as their severity, according to ASA classification, as risk factors for the development of postoperative complications of LC in elderly patients. However, LC proved to be a safe technique when used in these patients with low morbidity and mortality rates.
机译:目的:确定老年患者腹腔镜胆囊切除术(LC)术后并发症发生的危险因素。方法:2006年至2018年在Gaffree e Guinle大学医院的选择性LC中进行的一项观察性研究,对60岁及60岁以上患者的病历进行分析,排除了急诊手术或改用常规技术的手术研究。结果:本研究共纳入345名患者,其中80%为女性,62%为60-69岁。有39例术后并发症(11.3%),其中大部分(87%)属于Clavien-Dindo手术并发症量表的I级或II级。只有一人死亡。术前患者的共存疾病的数量和存在以及ASA II或III身体状况的分类为术后并发症和死亡的发生提供了更大的风险。结论:根据ASA分类,我们的研究确定了共存疾病的存在及其严重程度,将其作为老年患者LC术后并发症发展的危险因素。但是,在这些低发病率和低死亡率的患者中使用LC证明是一种安全的技术。

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