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Comparative Quality of Laparoscopic and Open Cholecystectomy in the Elderly Using Propensity Score Matching Analysis
Joint Authors
Ishikawa, Koichi Benjamin
Horiguchi, Hiromasa
Kuwabara, Kazuaki
Matsuda, Shinya
Fujimori, Kenji
Source
Gastroenterology Research and Practice
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-12-22
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
The safety of laparoscopic cholecystectomy (LC) in patients ≥65 years of age requires further investigation of postoperative outcomes before it becomes more widely accepted as a safe technique.
The advantages of using LC versus open cholecystectomy (OC) in elderly patients were analyzed using propensity score matching.
The demographics, cholecystitis severity, comorbidities, complications, and admission and discharge Barthel Index (BI) scores of patients with benign gallbladder diseases were analyzed.
Outcomes were analyzed by age, length of stay (LOS), total charges (TCs), BI improvement, and postoperative complications.
OC, which was indicated in severe disease cases, increased hospital resource use and caused more complications than LC, but did not improve BI.
Advanced age and OC resulted in greater LOS and TCs and was the best indicator of BI deterioration.
Whenever possible, surgeons should use LC in elderly patients to minimize postoperative complications and allow them to regain a good quality of life.
American Psychological Association (APA)
Kuwabara, Kazuaki& Matsuda, Shinya& Ishikawa, Koichi Benjamin& Horiguchi, Hiromasa& Fujimori, Kenji. 2010. Comparative Quality of Laparoscopic and Open Cholecystectomy in the Elderly Using Propensity Score Matching Analysis. Gastroenterology Research and Practice،Vol. 2010, no. 2010, pp.1-10.
https://search.emarefa.net/detail/BIM-475731
Modern Language Association (MLA)
Horiguchi, Hiromasa…[et al.]. Comparative Quality of Laparoscopic and Open Cholecystectomy in the Elderly Using Propensity Score Matching Analysis. Gastroenterology Research and Practice No. 2010 (2010), pp.1-10.
https://search.emarefa.net/detail/BIM-475731
American Medical Association (AMA)
Kuwabara, Kazuaki& Matsuda, Shinya& Ishikawa, Koichi Benjamin& Horiguchi, Hiromasa& Fujimori, Kenji. Comparative Quality of Laparoscopic and Open Cholecystectomy in the Elderly Using Propensity Score Matching Analysis. Gastroenterology Research and Practice. 2010. Vol. 2010, no. 2010, pp.1-10.
https://search.emarefa.net/detail/BIM-475731
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-475731