ArticleGastroenterology research and practice2010
Comparative quality of laparoscopic and open cholecystectomy in the elderly using propensity score matching analysis.
Article in Gastroenterology research and practice, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 17 citations in OpenAlex.
- Review
- Classification and regression model to manage the hospitalization for laparoscopic cholecystectomy.Scientific reports · 2023Article
- Predictive Factors for a Long Postoperative Stay after Emergency Laparoscopic Cholecystectomy Using the 2013 Tokyo Guidelines: A Retrospective Study.Minimally invasive surgery · 2019Article
- Effects of prior abdominal surgery on laparoscopic cholecystectomy.Turkish journal of surgery · 2018Article
- Laparoscopic partial cholecystectomy: A safe and effective alternative surgical technique in "difficult cholecystectomies".Ulusal cerrahi dergisi · 2016Article
- Factor Analysis Influencing Postoperative Hospital Stay and Medical Costs for Patients with Definite, Suspected, or Unmatched Diagnosis of Acute Cholecystitis according to the Tokyo Guidelines 2013.Gastroenterology research and practice · 2016Article
- Time trend and variability of open versus laparoscopic cholecystectomy in patients with symptomatic gallstone disease.Surgical endoscopy · 2013Article
- Article
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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.
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Registered trials
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