Open mini-invasive cholecystectomy in high risk elderly. A review of 121 consecutive procedures.

Giorgio Romano, Giuseppe Salamone, Gaspare Gulotta, Antonino Agrusa, Giuseppe Amato, Vita Anna Saladino

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2 Citazioni (Scopus)

Abstract

INTRODUCTION: the report describes the features of a low cost, open mini-invasive procedure for cholecystectomy in a sample of 121 consecutive high risk elderly (ASA score 3 to 5).PATIENTS AND METHODS: the surgery is performed through a 3 - 4 cm right subcostal skin incision. An optimal exposition of the operating field was achieved thanks to an innovative three valve retractor.RESULTS: a mean hospital stay of 3,02 days, low complication rate and 2,4% mortality are the results of the described procedure.CONCLUSIONS: in high risk elderly the results are extremely encouraging, particularly in comparison with both laparoscopic and traditional open cholecystectomy. The open minisurgical cholecystectomy could be considered a cost-effective alternative to laparoscopy, with excellent results in this subset of patients. The described mini-surgical procedure can also integrate the laparoscopic in case of conversion.
Lingua originaleEnglish
pagine (da-a)518-522
Numero di pagine5
RivistaIL GIORNALE DI CHIRURGIA
Volume31
Stato di pubblicazionePublished - 2010

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All Science Journal Classification (ASJC) codes

  • Surgery

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