ArticleSurgical endoscopy2008
Factors associated with prolonged stay after laparoscopic cholecystectomy in elderly patients.
Article in Surgical endoscopy, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Perioperative outcomes after laparoscopic cholecystectomy in elderly patients: a systematic review and meta-analysis.Surgical endoscopy · 2020Pooled it
- Effects of intraoperative protective lung ventilation on postoperative pulmonary complications in patients with laparoscopic surgery: prospective, randomized and controlled trial.Surgical endoscopy · 2016Trial
- Preoperative and perioperative predictors of prolonged hospital stay after uncomplicated elective laparoscopic cholecystectomy: a retrospective cohort study.BMC gastroenterology · 2026Article
- Classification and regression model to manage the hospitalization for laparoscopic cholecystectomy.Scientific reports · 2023Article
- Article
- Predictive Factors for a Long Hospital Stay in Patients Undergoing Laparoscopic Cholecystectomy.International journal of hepatology · 2017Article
- Laparoscopic Cholecystectomy in the Elderly: An Experience at a Tertiary Care Hospital in Western Nepal.Surgery research and practice · 2017Article
- Influencing factors on postoperative hospital stay after laparoscopic cholecystectomy.Korean journal of hepato-biliary-pancreatic surgery · 2016Article
- Clinical outcome for laparoscopic cholecystectomy in extremely elderly patients.Annals of surgical treatment and research · 2015Article
- Cholecystectomy prevalence and treatment cost: an 8-year study in Taiwan.Surgical endoscopy · 2010Article
- Prolonged hospital stay after parathyroidectomy for secondary hyperparathyroidism.World journal of surgery · 2009Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic cholecystectomy in elderly patients has been linked to higher complication rates and longer lengths of stay. The purpose of this study was to identify risk factors associated with prolonged postoperative hospitalization in elderly patients undergoing laparoscopic cholecystectomy.
methodsThe records of 287 patients aged 65 years or older, who underwent successful laparoscopic cholecystectomy between January 2001 and July 2006, were retrospectively reviewed. Clinical data was abstracted from the chart and compared between patients with a shorter or longer postoperative stay.
resultsThe median postoperative hospital stay was three days (interquartile range 3-5). Forty-eight patients had complications, with an overall morbidity of 16% and mortality of 0.7%. The only independent predictor of prolonged postoperative stay was the occurrence of any major complication [odds ratio, 3.144; 95% confidence interval (CI), 1.882-5.251]. The physiological and operative severity score for the enumeration of mortality and morbidity (POSSUM) and underlying chronic obstructive pulmonary disease were independently associated with major complications.
conclusionsA major complication is the most important cause of prolonged hospital stay after laparoscopic cholecystectomy in the elderly. No specific comorbidity has direct impact on the duration of hospitalization, but pulmonary disease is associated with increased risk of major complications.
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