Lucca G
Chir Ital. 1978 Dec;30(6):850-9.
The Author describes 151 cases of acute cholecystitis in patients ranging from 70 to 95 years of age. He examines then the literature on the subject paying attention to the treatment of cases of acute cholecyst disease in aged patients. The Author shows the outstanding features of these cases in synoptic tables and discusses them making a comparison with the materials and results of the colleagues. Leaving necessarily aside the urgent operations a discussion is made on the choice between a cholecyst extirpation and a cholecyst anastomosis. On course, advantages and disadvantages of such operations in aged and weakened patients are taken into account. Death percentage results to be equal to 26,4%, a figure which is not far from that furnished by other statistics, bearing in mind the age of the patients.
作者描述了151例年龄在70至95岁之间的急性胆囊炎患者。然后,他查阅了有关该主题的文献,重点关注老年患者急性胆囊疾病的治疗。作者在一览表中展示了这些病例的突出特征,并与同事们的资料和结果进行比较,对其进行了讨论。在必然排除急诊手术的情况下,对胆囊切除和胆囊吻合术之间的选择进行了讨论。当然,考虑到老年和体弱患者进行此类手术的优缺点。死亡率为26.4%,考虑到患者的年龄,这个数字与其他统计数据相差不远。