Koreshkin I A, Aksel'bant I S, Panshin A A
Vestn Khir Im I I Grek. 1998;157(1):32-5.
Under analysis are results of using laparoscopic cholecystectomy (LChE) in 43 elderly and senile patients (from 60 to 88 years of age). The control group consisted of 67 patients of young and middle-aged patients (from 25 to 59 years of age) operated upon by the same method. Based on a comparative analysis of 2 groups of patients the authors have established age-dependent specificity of using LChE at all stages of treatment from the preoperative preparation and choice of indications for operation till discharge from the hospital. The materials presented show that most of non-standard difficult and complicated LChE take place just in the age older than 60. When performing LChE in such patients additional intraoperative technical means should be used and the indications for laparotomy must be wider. A conclusion is made that when estimating results of LChE it is expedient to analyze results of treatment of elderly and senile patients by this method.
