Open versus laparoscopic approach in the treatment of abdominal emergencies in elderly populationguol

Falco, N.; Scerrino, G.; Licari, L.

Risultato della ricerca: Article

13 Citazioni (Scopus)

Abstract

AIM: To evaluate the role of laparoscopy in the treatment of surgical emergency in old population. PATIENTS AND METHODS: Over-70 years-old patients submitted to emergency abdominal surgery from January 2013 to December 2014 were collected and grouped according to admission diagnoses. These accounted small bowel obstruction, colonic acute disease, appendicitis, ventral hernia, gastro-duodenal perforation, biliary disease. In each group it was analyzed the operation time (OT), the morbidity rate and the mortality rate comparing open and laparoscopic management using T-test and Chi-square test. RESULTS: 159 over 70-years-old patients underwent emergency surgery in the General and Emergency surgery Operative Unit (O.U.) of the Policlinic of Palermo. 75 patients were managed by a laparoscopic approach and 84 underwent traditional open emergency surgery. T-Test for OT and Chi-square test for morbidity rate and mortality rate showed no differences in small bowel emergencies (p=0,4; 0,25<p<0,9; 0,25<p<0,9), in colonic acute diseases (p=0,35; 0,25<p<0,9; 0,25<p<0,9), in appendicitis (p=0,22; 0,05<p<0,1; 0,25<p<0,9), in complicated ventral hernia (p=0,12; p>0,9; p>0,95) and in gastro-duodenal perforation (p=0,9; p>0.9; p>0.95). In cholecystitis, laparoscopy group showed lower OT (T-Test: p= 0,0002) while Chi-square test for morbidity rate (0,1<p<0,25) and mortality rate (0,25<p<0,9) showed no differences. CONCLUSIONS: The collected data showed the feasibility of laparoscopic management as an alternative to open surgery in surgical emergencies in elderly population.
Lingua originaleEnglish
pagine (da-a)108-112
Numero di pagine5
RivistaIL GIORNALE DI CHIRURGIA
Volume108
Stato di pubblicazionePublished - 2016

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Emergency Treatment
Emergencies
Chi-Square Distribution
Morbidity
Laparoscopy
Mortality
Colonic Diseases
Ventral Hernia
Cholecystitis
Appendicitis
Acute Disease
Population

All Science Journal Classification (ASJC) codes

  • Surgery

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Open versus laparoscopic approach in the treatment of abdominal emergencies in elderly populationguol. / Falco, N.; Scerrino, G.; Licari, L.

In: IL GIORNALE DI CHIRURGIA, Vol. 108, 2016, pag. 108-112.

Risultato della ricerca: Article

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title = "Open versus laparoscopic approach in the treatment of abdominal emergencies in elderly populationguol",
abstract = "AIM: To evaluate the role of laparoscopy in the treatment of surgical emergency in old population. PATIENTS AND METHODS: Over-70 years-old patients submitted to emergency abdominal surgery from January 2013 to December 2014 were collected and grouped according to admission diagnoses. These accounted small bowel obstruction, colonic acute disease, appendicitis, ventral hernia, gastro-duodenal perforation, biliary disease. In each group it was analyzed the operation time (OT), the morbidity rate and the mortality rate comparing open and laparoscopic management using T-test and Chi-square test. RESULTS: 159 over 70-years-old patients underwent emergency surgery in the General and Emergency surgery Operative Unit (O.U.) of the Policlinic of Palermo. 75 patients were managed by a laparoscopic approach and 84 underwent traditional open emergency surgery. T-Test for OT and Chi-square test for morbidity rate and mortality rate showed no differences in small bowel emergencies (p=0,4; 0,250,9; p>0,95) and in gastro-duodenal perforation (p=0,9; p>0.9; p>0.95). In cholecystitis, laparoscopy group showed lower OT (T-Test: p= 0,0002) while Chi-square test for morbidity rate (0,1<p<0,25) and mortality rate (0,25<p<0,9) showed no differences. CONCLUSIONS: The collected data showed the feasibility of laparoscopic management as an alternative to open surgery in surgical emergencies in elderly population.",
author = "{Falco, N.; Scerrino, G.; Licari, L.} and Gaspare Gulotta and Gianfranco Cocorullo and Giuseppe Salamone and Roberta Tutino and Tommaso Fontana",
year = "2016",
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volume = "108",
pages = "108--112",
journal = "Giornale di Chirurgia",
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T1 - Open versus laparoscopic approach in the treatment of abdominal emergencies in elderly populationguol

AU - Falco, N.; Scerrino, G.; Licari, L.

AU - Gulotta, Gaspare

AU - Cocorullo, Gianfranco

AU - Salamone, Giuseppe

AU - Tutino, Roberta

AU - Fontana, Tommaso

PY - 2016

Y1 - 2016

N2 - AIM: To evaluate the role of laparoscopy in the treatment of surgical emergency in old population. PATIENTS AND METHODS: Over-70 years-old patients submitted to emergency abdominal surgery from January 2013 to December 2014 were collected and grouped according to admission diagnoses. These accounted small bowel obstruction, colonic acute disease, appendicitis, ventral hernia, gastro-duodenal perforation, biliary disease. In each group it was analyzed the operation time (OT), the morbidity rate and the mortality rate comparing open and laparoscopic management using T-test and Chi-square test. RESULTS: 159 over 70-years-old patients underwent emergency surgery in the General and Emergency surgery Operative Unit (O.U.) of the Policlinic of Palermo. 75 patients were managed by a laparoscopic approach and 84 underwent traditional open emergency surgery. T-Test for OT and Chi-square test for morbidity rate and mortality rate showed no differences in small bowel emergencies (p=0,4; 0,250,9; p>0,95) and in gastro-duodenal perforation (p=0,9; p>0.9; p>0.95). In cholecystitis, laparoscopy group showed lower OT (T-Test: p= 0,0002) while Chi-square test for morbidity rate (0,1<p<0,25) and mortality rate (0,25<p<0,9) showed no differences. CONCLUSIONS: The collected data showed the feasibility of laparoscopic management as an alternative to open surgery in surgical emergencies in elderly population.

AB - AIM: To evaluate the role of laparoscopy in the treatment of surgical emergency in old population. PATIENTS AND METHODS: Over-70 years-old patients submitted to emergency abdominal surgery from January 2013 to December 2014 were collected and grouped according to admission diagnoses. These accounted small bowel obstruction, colonic acute disease, appendicitis, ventral hernia, gastro-duodenal perforation, biliary disease. In each group it was analyzed the operation time (OT), the morbidity rate and the mortality rate comparing open and laparoscopic management using T-test and Chi-square test. RESULTS: 159 over 70-years-old patients underwent emergency surgery in the General and Emergency surgery Operative Unit (O.U.) of the Policlinic of Palermo. 75 patients were managed by a laparoscopic approach and 84 underwent traditional open emergency surgery. T-Test for OT and Chi-square test for morbidity rate and mortality rate showed no differences in small bowel emergencies (p=0,4; 0,250,9; p>0,95) and in gastro-duodenal perforation (p=0,9; p>0.9; p>0.95). In cholecystitis, laparoscopy group showed lower OT (T-Test: p= 0,0002) while Chi-square test for morbidity rate (0,1<p<0,25) and mortality rate (0,25<p<0,9) showed no differences. CONCLUSIONS: The collected data showed the feasibility of laparoscopic management as an alternative to open surgery in surgical emergencies in elderly population.

UR - http://hdl.handle.net/10447/207988

M3 - Article

VL - 108

SP - 108

EP - 112

JO - Giornale di Chirurgia

JF - Giornale di Chirurgia

SN - 0391-9005

ER -