根据年龄评估胆囊切除术的临床结果，为“银色海啸”做准备。
Assessment of clinical outcome of cholecystectomy according to age in preparation for the "Silver Tsunami".
机构信息
Department of Surgery, Kansai Medical University, 2-5-1 Shinmachi, Hirakata, Osaka, 573-1010, Japan.
Department of Surgery, Kansai Medical University, 2-5-1 Shinmachi, Hirakata, Osaka, 573-1010, Japan.
出版信息
Am J Surg. 2019 Sep;218(3):567-570. doi: 10.1016/j.amjsurg.2019.01.021. Epub 2019 Jan 25.
BACKGROUND
Recent rapid increases in the aging population have created an impending "Silver Tsunami" in advanced countries. The overall prevalence of gallstone disease and its related complications will soon increase, and there will be a larger demand for gallbladder surgery.
METHODS
We examined the outcomes of cholecystectomy according to age among patients with cholelithiasis to determine how a patient's age influences the outcome of cholecystectomy. All patients with gallstone disease who presented for cholecystectomy at our institute from January 2006 to December 2018 were analyzed.
RESULTS
All perioperative outcomes (operation length, length of hospital stay, rate of open surgery, urgent surgery, postoperative complications, incidental gallbladder cancer, postoperative hospital death, concomitant bile duct stones, and total medical costs per patient) increased as patients aged.
CONCLUSIONS
To prevent the progression of biliary disease, elective laparoscopic cholecystectomy is recommended before patients with cholelithiasis advance in age.
背景
最近，人口老龄化的迅速增加在先进国家引发了一场即将到来的“银色海啸”。胆囊疾病及其相关并发症的总体患病率将很快上升，对胆囊手术的需求也将更大。
方法
我们根据年龄检查了胆囊切除术患者的治疗效果，以确定患者的年龄如何影响胆囊切除术的结果。对 2006 年 1 月至 2018 年 12 月期间在我院接受胆囊切除术的所有胆囊疾病患者进行了分析。
结果
随着患者年龄的增长，所有围手术期结果（手术时间、住院时间、开放手术率、紧急手术率、术后并发症、偶然发现的胆囊癌、术后院内死亡、合并胆管结石以及每位患者的总医疗费用）均增加。
结论
为了防止胆道疾病的进展，建议在患有胆石症的患者年龄增长之前进行择期腹腔镜胆囊切除术。
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