Outcomes after laparoscopic cholecystectomy in patients older than 80 years: two-years follow-up
Abstract Background The laparoscopic cholecystectomy is the treatment of choice for patients with benign biliary disease. It is necessary to evaluate survival after laparoscopic cholecystectomy in patients over 80 years old to determine whether the long-term mortality rate is higher than the reporte...
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-024-02383-6 |
| _version_ | 1797259543314432000 |
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| author | Camilo Ramírez-Giraldo Luis Carlos Venegas-Sanabria Susana Rojas-López Violeta Avendaño-Morales |
| author_facet | Camilo Ramírez-Giraldo Luis Carlos Venegas-Sanabria Susana Rojas-López Violeta Avendaño-Morales |
| author_sort | Camilo Ramírez-Giraldo |
| collection | DOAJ |
| description | Abstract Background The laparoscopic cholecystectomy is the treatment of choice for patients with benign biliary disease. It is necessary to evaluate survival after laparoscopic cholecystectomy in patients over 80 years old to determine whether the long-term mortality rate is higher than the reported recurrence rate. If so, this age group could benefit from a more conservative approach, such as antibiotic treatment or cholecystostomy. Therefore, the aim of this study was to evaluate the factors associated with 2 years survival after laparoscopic cholecystectomy in patients over 80 years old. Methods We conducted a retrospective observational cohort study. We included all patients over 80 years old who underwent laparoscopic cholecystectomy. Survival analysis was conducted using the Kaplan‒Meier method. Cox regression analysis was implemented to determine potential factors associated with mortality at 24 months. Results A total of 144 patients were included in the study, of whom 37 (25.69%) died at the two-year follow-up. Survival curves were compared for different ASA groups, showing a higher proportion of survivors at two years among patients classified as ASA 1–2 at 87.50% compared to ASA 3–4 at 63.75% (p = 0.001). An ASA score of 3–4 was identified as a statistically significant factor associated with mortality, indicating a higher risk (HR: 2.71, CI95%:1.20–6.14). Conclusions ASA 3–4 patients may benefit from conservative management due to their higher risk of mortality at 2 years and a lower probability of disease recurrence. |
| first_indexed | 2024-04-24T23:11:06Z |
| format | Article |
| id | doaj.art-02f69d6e411c4651a82e22161d25b181 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-24T23:11:06Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-02f69d6e411c4651a82e22161d25b1812024-03-17T12:12:33ZengBMCBMC Surgery1471-24822024-03-012411810.1186/s12893-024-02383-6Outcomes after laparoscopic cholecystectomy in patients older than 80 years: two-years follow-upCamilo Ramírez-Giraldo0Luis Carlos Venegas-Sanabria1Susana Rojas-López2Violeta Avendaño-Morales3Surgery Department, Hospital Universitario Mayor – MéderiResearch Department, Hospital Universitario Mayor – MéderiSurgery Department, Hospital Universitario Mayor – MéderiResearch Department, Hospital Universitario Mayor – MéderiAbstract Background The laparoscopic cholecystectomy is the treatment of choice for patients with benign biliary disease. It is necessary to evaluate survival after laparoscopic cholecystectomy in patients over 80 years old to determine whether the long-term mortality rate is higher than the reported recurrence rate. If so, this age group could benefit from a more conservative approach, such as antibiotic treatment or cholecystostomy. Therefore, the aim of this study was to evaluate the factors associated with 2 years survival after laparoscopic cholecystectomy in patients over 80 years old. Methods We conducted a retrospective observational cohort study. We included all patients over 80 years old who underwent laparoscopic cholecystectomy. Survival analysis was conducted using the Kaplan‒Meier method. Cox regression analysis was implemented to determine potential factors associated with mortality at 24 months. Results A total of 144 patients were included in the study, of whom 37 (25.69%) died at the two-year follow-up. Survival curves were compared for different ASA groups, showing a higher proportion of survivors at two years among patients classified as ASA 1–2 at 87.50% compared to ASA 3–4 at 63.75% (p = 0.001). An ASA score of 3–4 was identified as a statistically significant factor associated with mortality, indicating a higher risk (HR: 2.71, CI95%:1.20–6.14). Conclusions ASA 3–4 patients may benefit from conservative management due to their higher risk of mortality at 2 years and a lower probability of disease recurrence.https://doi.org/10.1186/s12893-024-02383-6ElderlyCholecystitisCholecystectomySurgery |
| spellingShingle | Camilo Ramírez-Giraldo Luis Carlos Venegas-Sanabria Susana Rojas-López Violeta Avendaño-Morales Outcomes after laparoscopic cholecystectomy in patients older than 80 years: two-years follow-up BMC Surgery Elderly Cholecystitis Cholecystectomy Surgery |
| title | Outcomes after laparoscopic cholecystectomy in patients older than 80 years: two-years follow-up |
| title_full | Outcomes after laparoscopic cholecystectomy in patients older than 80 years: two-years follow-up |
| title_fullStr | Outcomes after laparoscopic cholecystectomy in patients older than 80 years: two-years follow-up |
| title_full_unstemmed | Outcomes after laparoscopic cholecystectomy in patients older than 80 years: two-years follow-up |
| title_short | Outcomes after laparoscopic cholecystectomy in patients older than 80 years: two-years follow-up |
| title_sort | outcomes after laparoscopic cholecystectomy in patients older than 80 years two years follow up |
| topic | Elderly Cholecystitis Cholecystectomy Surgery |
| url | https://doi.org/10.1186/s12893-024-02383-6 |
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