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Is Laparoscopic Common Bile Duct Exploration Safe for the Oldest Old Patients?
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논문 기본 정보

Type
Academic journal
Author
Hee Jin Yeon (Department of Surgery Konyang University Hospital Daejeon Korea) Ju Ik Moon (Department of Surgery, Konyang University Hospital, Daejeon, Korea) Seung Jae Lee (Department of Surgery Konyang University Hospital Daejeon Korea) In Seok Choi (Department of Surgery, Konyang University Hospital, Daejeon, Korea)
Journal
대한노인병학회 Annals of geriatric medicine and research Annals of geriatric medicine and research Vol.26 No.2 KCI Accredited Journals
Published
2022.6
Pages
140 - 147 (8page)
DOI
10.4235/agmr.22.0026

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Is Laparoscopic Common Bile Duct Exploration Safe for the Oldest Old Patients?
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Background: This study aimed to identify the risk factors for postoperative complications of laparoscopic common bile duct exploration (LCBDE) in the oldest old patients aged 80 years or older. Methods: From March 2001 to October 2020, 363 patients underwent LCBDE with stone removal. Based on their ages, they were divided into two groups, those younger than 80 years (n=240) and those 80 years old or older (n=123). We compared patient demographics, disease characteristics, surgical outcomes, and postoperative complications based on these groups. Results: The older group had a higher proportion of patients with a Charlson Comorbidity Index ≥5 (p<0.001) and the American Society of Anesthesiologist (ASA) physical status classification ≥3 (p<0.001). In addition, the older group had longer postoperative hospital stays than younger group (7.5±6.1 days vs. 6.2±3.9 days, p=0.013). However, there were no significant differences between groups according to the postoperative complications (13.8% vs. 20.3%, p=0.130). According to multivariate analysis, the risk factors for postoperative complications were Charlson Comorbidity Index ≥5 (odds ratio [OR]=2.307; 95% confidence interval [CI], 1.162?4.579; p=0.017) and operative time >2 hours (OR=3.204; 95% CI, 1.802?5.695; p<0.001). Conclusion: In patients with Charlson Comorbidity Index <5 and operation time <2 hours, LCDBE with stone removal can be considered safe for the oldest old patients.
#Laparoscopy #Choledocholithiasis #Aged #Postoperative complications #Multivariate analysis

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