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Published in:

01-05-2008

Factors associated with prolonged stay after laparoscopic cholecystectomy in elderly patients

Authors: Shih-Ping Cheng, Yuan-Ching Chang, Chien-Liang Liu, Tsen-Long Yang, Kuo-Shyang Jeng, Jie-Jen Lee, Tsang-Pai Liu

Published in: Surgical Endoscopy | Issue 5/2008

Abstract

Background

Laparoscopic cholecystectomy in elderly patients has been linked to higher complication rates and longer lengths of stay. The purpose of this study was to identify risk factors associated with prolonged postoperative hospitalization in elderly patients undergoing laparoscopic cholecystectomy.

Methods

The records of 287 patients aged 65 years or older, who underwent successful laparoscopic cholecystectomy between January 2001 and July 2006, were retrospectively reviewed. Clinical data was abstracted from the chart and compared between patients with a shorter or longer postoperative stay.

Results

The median postoperative hospital stay was three days (interquartile range 3–5). Forty-eight patients had complications, with an overall morbidity of 16% and mortality of 0.7%. The only independent predictor of prolonged postoperative stay was the occurrence of any major complication [odds ratio, 3.144; 95% confidence interval (CI), 1.882–5.251]. The physiological and operative severity score for the enumeration of mortality and morbidity (POSSUM) and underlying chronic obstructive pulmonary disease were independently associated with major complications.

Conclusions

A major complication is the most important cause of prolonged hospital stay after laparoscopic cholecystectomy in the elderly. No specific comorbidity has direct impact on the duration of hospitalization, but pulmonary disease is associated with increased risk of major complications.

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Title: Factors associated with prolonged stay after laparoscopic cholecystectomy in elderly patients
Authors: Shih-Ping Cheng
Yuan-Ching Chang
Chien-Liang Liu
Tsen-Long Yang
Kuo-Shyang Jeng
Jie-Jen Lee
Tsang-Pai Liu
Publication date: 01-05-2008
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 5/2008
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-007-9610-4

At a glance: The STEP trials

Springer Medicine

Factors associated with prolonged stay after laparoscopic cholecystectomy in elderly patients

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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