Laparoscopic Surgery in Elderly Patients Aged 65 Years and Older with Gynecologic Disease
Joint Authors
Kanasaki, Haruhiko
Oride, Aki
Miyazaki, Kohji
Source
ISRN Obstetrics and Gynecology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-11-21
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objectives.
The study was conducted to characterize the use of the laparoscopic surgery in elderly patients.
Methods.
The medical records of elderly patients aged ≥65 years who underwent laparoscopic surgery were retrospectively reviewed for diseases, surgical procedures, histological diagnosis, intraoperative and postoperative complications, and reasons for presentation.
Results.
Of the 405 patients who underwent laparoscopic surgery between January 2005 and March 2012, 41 (10.1%) were aged ≥65 years.
The most common disease treated by surgery was ovarian tumor, followed by uterine prolapse.
Histological diagnosis of ovarian tumor specimens obtained from 23 patients included serous cystadenoma (44.0%), mature cystic teratoma (20.0%), mucinous cystadenoma (20.0%), and endometrioma (4%).
In contrast, in the non-elderly group, the most common histological diagnosis was endometrioma (42.9%), followed in order by mature cystic teratoma (28.3%), serous cystadenoma (18.0%), and mucinous cystadenoma (4.7%).
While 23.7% of the non-elderly patients required emergency laparoscopic surgery, none of the elderly patients required emergency surgery.
Only 1 of 27 patients who underwent surgery for an ovarian or adnexal mass presented with abdominal pain.
No one developed serious intraoperative or postoperative complications.
Conclusion.
Laparoscopic surgery can be safely performed in elderly patients.
It should be noted, however, that few elderly patients with benign pelvic mass manifest symptoms before undergoing surgery.
American Psychological Association (APA)
Kanasaki, Haruhiko& Oride, Aki& Miyazaki, Kohji. 2012. Laparoscopic Surgery in Elderly Patients Aged 65 Years and Older with Gynecologic Disease. ISRN Obstetrics and Gynecology،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-489746
Modern Language Association (MLA)
Kanasaki, Haruhiko…[et al.]. Laparoscopic Surgery in Elderly Patients Aged 65 Years and Older with Gynecologic Disease. ISRN Obstetrics and Gynecology No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-489746
American Medical Association (AMA)
Kanasaki, Haruhiko& Oride, Aki& Miyazaki, Kohji. Laparoscopic Surgery in Elderly Patients Aged 65 Years and Older with Gynecologic Disease. ISRN Obstetrics and Gynecology. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-489746
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-489746