Cholecystectomy under epidural anesthesia in elderly patients with significant comorbid conditions
Purpose: The aim of this study was to evaluate the surgical treatment of gallstone disease with open cholecystectomy under epidural anesthesia in elderly patients with significant comorbid conditions. Materials and Methods: We retrospectively analyzed 80 consecutive elderly patients over 65 years of...
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| Format: | Article |
| Language: | English |
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Cukurova University
2022-06-01
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| Series: | Cukurova Medical Journal |
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| Online Access: | https://dergipark.org.tr/tr/download/article-file/1995339 |
| _version_ | 1828018191315501056 |
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| author | Etem Alhan Mehmet Arif Usta Serkan Tayar Mehmet Uluşahin Murat Emre Reis |
| author_facet | Etem Alhan Mehmet Arif Usta Serkan Tayar Mehmet Uluşahin Murat Emre Reis |
| author_sort | Etem Alhan |
| collection | DOAJ |
| description | Purpose: The aim of this study was to evaluate the surgical treatment of gallstone disease with open cholecystectomy under epidural anesthesia in elderly patients with significant comorbid conditions.
Materials and Methods: We retrospectively analyzed 80 consecutive elderly patients over 65 years of age with significant comorbid conditions who underwent open cholecytectomy under epidural anesthesia for the surgical treatment of gallstone disease between January 1, 2009 and December 31, 2019, all performed by one surgeon.
Results: Mean age was found 77 ± 16 years. Fifty of the patients (62.5%) were females. Forty-seven patients (58.75%) showed an American Society of Anesthesiologist Physical Status (ASA, PS) of 3. The most frequently associated comorbidity involved the cardiovascular system (46 patients, 57.5%). Surgical indications were acute cholecystitis (AC) in 37 patients (46.25%) and chronic cholecystitis in 32 patients (40%). Mean operation time was 55 ± 22 minutes. Hospital stay was mean 12 ± 5 days. Total complication rate was 38.75%, and pulmonary complication was the most frequently encountered (13.75%). 30-day mortality was seen in 5 patients (6.25%).
Conclusion: In older, high-risk gallstone patients, an open cholecystectomy with epidural anesthesia may be recommended. For this patient population, the mortality and morbidity rates are acceptable. |
| first_indexed | 2024-04-10T11:00:12Z |
| format | Article |
| id | doaj.art-ad89cd0bda1b4ba8a11d3f8b3e87084a |
| institution | Directory Open Access Journal |
| issn | 2602-3040 |
| language | English |
| last_indexed | 2024-04-10T11:00:12Z |
| publishDate | 2022-06-01 |
| publisher | Cukurova University |
| record_format | Article |
| series | Cukurova Medical Journal |
| spelling | doaj.art-ad89cd0bda1b4ba8a11d3f8b3e87084a2023-02-15T16:19:45ZengCukurova UniversityCukurova Medical Journal2602-30402022-06-0147254855410.17826/cumj.100094148Cholecystectomy under epidural anesthesia in elderly patients with significant comorbid conditionsEtem Alhan0Mehmet Arif Usta1Serkan Tayar2Mehmet Uluşahin3Murat Emre Reis4KARADENİZ TEKNİK ÜNİVERSİTESİ, TIP FAKÜLTESİKARADENİZ TEKNİK ÜNİVERSİTESİ, TIP FAKÜLTESİErzurum Regional Training and Research Hospital, General Surgery Clinic,KARADENİZ TEKNİK ÜNİVERSİTESİ, TIP FAKÜLTESİKARADENİZ TEKNİK ÜNİVERSİTESİ, TIP FAKÜLTESİPurpose: The aim of this study was to evaluate the surgical treatment of gallstone disease with open cholecystectomy under epidural anesthesia in elderly patients with significant comorbid conditions. Materials and Methods: We retrospectively analyzed 80 consecutive elderly patients over 65 years of age with significant comorbid conditions who underwent open cholecytectomy under epidural anesthesia for the surgical treatment of gallstone disease between January 1, 2009 and December 31, 2019, all performed by one surgeon. Results: Mean age was found 77 ± 16 years. Fifty of the patients (62.5%) were females. Forty-seven patients (58.75%) showed an American Society of Anesthesiologist Physical Status (ASA, PS) of 3. The most frequently associated comorbidity involved the cardiovascular system (46 patients, 57.5%). Surgical indications were acute cholecystitis (AC) in 37 patients (46.25%) and chronic cholecystitis in 32 patients (40%). Mean operation time was 55 ± 22 minutes. Hospital stay was mean 12 ± 5 days. Total complication rate was 38.75%, and pulmonary complication was the most frequently encountered (13.75%). 30-day mortality was seen in 5 patients (6.25%). Conclusion: In older, high-risk gallstone patients, an open cholecystectomy with epidural anesthesia may be recommended. For this patient population, the mortality and morbidity rates are acceptable.https://dergipark.org.tr/tr/download/article-file/1995339gallstone diseasehigh risk patientscomorbid conditionsepidural anesthesiaopen cholecystectomysafra taşı hastalığıyüksek riskli hastalarkomorbid durumlarepidural anesteziaçık kolesistektomi |
| spellingShingle | Etem Alhan Mehmet Arif Usta Serkan Tayar Mehmet Uluşahin Murat Emre Reis Cholecystectomy under epidural anesthesia in elderly patients with significant comorbid conditions Cukurova Medical Journal gallstone disease high risk patients comorbid conditions epidural anesthesia open cholecystectomy safra taşı hastalığı yüksek riskli hastalar komorbid durumlar epidural anestezi açık kolesistektomi |
| title | Cholecystectomy under epidural anesthesia in elderly patients with significant comorbid conditions |
| title_full | Cholecystectomy under epidural anesthesia in elderly patients with significant comorbid conditions |
| title_fullStr | Cholecystectomy under epidural anesthesia in elderly patients with significant comorbid conditions |
| title_full_unstemmed | Cholecystectomy under epidural anesthesia in elderly patients with significant comorbid conditions |
| title_short | Cholecystectomy under epidural anesthesia in elderly patients with significant comorbid conditions |
| title_sort | cholecystectomy under epidural anesthesia in elderly patients with significant comorbid conditions |
| topic | gallstone disease high risk patients comorbid conditions epidural anesthesia open cholecystectomy safra taşı hastalığı yüksek riskli hastalar komorbid durumlar epidural anestezi açık kolesistektomi |
| url | https://dergipark.org.tr/tr/download/article-file/1995339 |
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