Yıl: 2023 Cilt: 30 Sayı: 4 Sayfa Aralığı: 444 - 448 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2022.11.345 İndeks Tarihi: 03-05-2023

Management of acute cholecystitis in elderly (≥65 years old) patients: A retrospective study comparing early versus delayed cholecystectomy

Öz:
Aim: Acute cholecystitis is the most common causes of acute abdomen in elderly popula tion. This study aimed to present the early postoperative period (≤ 30 days) outcomes of elderly patients (≥ 65 years old) with acute cholecystitis who underwent early or delayed cholecystectomy. Materials and Methods: Between January 2016 and December 2020, 74 patients aged 65 and over underwent cholecystectomy for acute cholecystitis were included in the study. The patients were divided into two groups as early (time between diagnosis and chole cystectomy 7 days or less, n= 43, 58.1%) or delayed (time between diagnosis and chole cystectomy over 7 days, n= 31, 41.9%) cholecystectomy. Demographic characteristics, preoperative laboratory and radiological findings, and perioperative data of patients were evaluated, and the groups were compared. Results: The median age of patients was 73 (65-90) years, and 39 (52.7%) were male. Sixty-one (82.4%) patients underwent laparoscopic, 8 open (10.8%) and 5 (6.8%) conver sion cholecystectomy. The rate of laparoscopic cholecystectomy was higher in the delayed group (n= 29, 93.5%) than in the early group (n= 32, 74.4%), but no statistically signifi cant difference was detected (p=.06). The rate of open cholecystectomy was statistically significantly higher in the early group (n=8, 18.6%) than in the delayed group (n=0) (P=.017), the conversion rate was similar between the groups (p=1). There was no signif icant difference between the groups in terms of intraoperative complications (p=1). The length of hospital stay was statistically significantly longer in the early compared to the delayed group (5 (1-21) days and 2 (1-12) days, respectively, p< .001). Conclusion: There was no statistical difference regarding intraoperative complications in patients underwent early or delayed cholecystectomy. We believe that the patient’s clinical presentation and early or delayed cholecystectomy experience of the team are vital in determining the timing of cholecystectomy, as well as the severity of acute cholecystitis.
Anahtar Kelime: Acute cholecystitis Cholecystectomy Elderly Early Delayed

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APA Barut B, Bag Y, patmano m, gündoğan e, Tunçer A, DALDA Y, Gonultas F, SAHIN T (2023). Management of acute cholecystitis in elderly (≥65 years old) patients: A retrospective study comparing early versus delayed cholecystectomy. , 444 - 448. 10.5455/annalsmedres.2022.11.345
Chicago Barut Bora,Bag Yusuf Murat,patmano mehmet,gündoğan ersin,Tunçer Adem,DALDA YASİN,Gonultas Fatih,SAHIN TEVFIK TOLGA Management of acute cholecystitis in elderly (≥65 years old) patients: A retrospective study comparing early versus delayed cholecystectomy. (2023): 444 - 448. 10.5455/annalsmedres.2022.11.345
MLA Barut Bora,Bag Yusuf Murat,patmano mehmet,gündoğan ersin,Tunçer Adem,DALDA YASİN,Gonultas Fatih,SAHIN TEVFIK TOLGA Management of acute cholecystitis in elderly (≥65 years old) patients: A retrospective study comparing early versus delayed cholecystectomy. , 2023, ss.444 - 448. 10.5455/annalsmedres.2022.11.345
AMA Barut B,Bag Y,patmano m,gündoğan e,Tunçer A,DALDA Y,Gonultas F,SAHIN T Management of acute cholecystitis in elderly (≥65 years old) patients: A retrospective study comparing early versus delayed cholecystectomy. . 2023; 444 - 448. 10.5455/annalsmedres.2022.11.345
Vancouver Barut B,Bag Y,patmano m,gündoğan e,Tunçer A,DALDA Y,Gonultas F,SAHIN T Management of acute cholecystitis in elderly (≥65 years old) patients: A retrospective study comparing early versus delayed cholecystectomy. . 2023; 444 - 448. 10.5455/annalsmedres.2022.11.345
IEEE Barut B,Bag Y,patmano m,gündoğan e,Tunçer A,DALDA Y,Gonultas F,SAHIN T "Management of acute cholecystitis in elderly (≥65 years old) patients: A retrospective study comparing early versus delayed cholecystectomy." , ss.444 - 448, 2023. 10.5455/annalsmedres.2022.11.345
ISNAD Barut, Bora vd. "Management of acute cholecystitis in elderly (≥65 years old) patients: A retrospective study comparing early versus delayed cholecystectomy". (2023), 444-448. https://doi.org/10.5455/annalsmedres.2022.11.345
APA Barut B, Bag Y, patmano m, gündoğan e, Tunçer A, DALDA Y, Gonultas F, SAHIN T (2023). Management of acute cholecystitis in elderly (≥65 years old) patients: A retrospective study comparing early versus delayed cholecystectomy. Annals of Medical Research, 30(4), 444 - 448. 10.5455/annalsmedres.2022.11.345
Chicago Barut Bora,Bag Yusuf Murat,patmano mehmet,gündoğan ersin,Tunçer Adem,DALDA YASİN,Gonultas Fatih,SAHIN TEVFIK TOLGA Management of acute cholecystitis in elderly (≥65 years old) patients: A retrospective study comparing early versus delayed cholecystectomy. Annals of Medical Research 30, no.4 (2023): 444 - 448. 10.5455/annalsmedres.2022.11.345
MLA Barut Bora,Bag Yusuf Murat,patmano mehmet,gündoğan ersin,Tunçer Adem,DALDA YASİN,Gonultas Fatih,SAHIN TEVFIK TOLGA Management of acute cholecystitis in elderly (≥65 years old) patients: A retrospective study comparing early versus delayed cholecystectomy. Annals of Medical Research, vol.30, no.4, 2023, ss.444 - 448. 10.5455/annalsmedres.2022.11.345
AMA Barut B,Bag Y,patmano m,gündoğan e,Tunçer A,DALDA Y,Gonultas F,SAHIN T Management of acute cholecystitis in elderly (≥65 years old) patients: A retrospective study comparing early versus delayed cholecystectomy. Annals of Medical Research. 2023; 30(4): 444 - 448. 10.5455/annalsmedres.2022.11.345
Vancouver Barut B,Bag Y,patmano m,gündoğan e,Tunçer A,DALDA Y,Gonultas F,SAHIN T Management of acute cholecystitis in elderly (≥65 years old) patients: A retrospective study comparing early versus delayed cholecystectomy. Annals of Medical Research. 2023; 30(4): 444 - 448. 10.5455/annalsmedres.2022.11.345
IEEE Barut B,Bag Y,patmano m,gündoğan e,Tunçer A,DALDA Y,Gonultas F,SAHIN T "Management of acute cholecystitis in elderly (≥65 years old) patients: A retrospective study comparing early versus delayed cholecystectomy." Annals of Medical Research, 30, ss.444 - 448, 2023. 10.5455/annalsmedres.2022.11.345
ISNAD Barut, Bora vd. "Management of acute cholecystitis in elderly (≥65 years old) patients: A retrospective study comparing early versus delayed cholecystectomy". Annals of Medical Research 30/4 (2023), 444-448. https://doi.org/10.5455/annalsmedres.2022.11.345