Comparative Quality of Laparoscopic and Open Cholecystectomy in the Elderly Using Propensity Score Matching Analysis
The safety of laparoscopic cholecystectomy (LC) in patients ≥65 years of age requires further investigation of postoperative outcomes before it becomes more widely accepted as a safe technique. The advantages of using LC versus open cholecystectomy (OC) in elderly patients were analyzed using propen...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2010/490147 |
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| _version_ | 1832550514102894592 |
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| author | Kazuaki Kuwabara Shinya Matsuda Koichi Benjamin Ishikawa Hiromasa Horiguchi Kenji Fujimori |
| author_facet | Kazuaki Kuwabara Shinya Matsuda Koichi Benjamin Ishikawa Hiromasa Horiguchi Kenji Fujimori |
| author_sort | Kazuaki Kuwabara |
| collection | DOAJ |
| description | The safety of laparoscopic cholecystectomy (LC) in patients ≥65 years of age requires further investigation of postoperative outcomes before it becomes more widely accepted as a safe technique. The advantages of using LC versus open cholecystectomy (OC) in elderly patients were analyzed using propensity score matching. The demographics, cholecystitis severity, comorbidities, complications, and admission and discharge Barthel Index (BI) scores of patients with benign gallbladder diseases were analyzed. Outcomes were analyzed by age, length of stay (LOS), total charges (TCs), BI improvement, and postoperative complications. OC, which was indicated in severe disease cases, increased hospital resource use and caused more complications than LC, but did not improve BI. Advanced age and OC resulted in greater LOS and TCs and was the best indicator of BI deterioration. Whenever possible, surgeons should use LC in elderly patients to minimize postoperative complications and allow them to regain a good quality of life. |
| format | Article |
| id | doaj-art-b6f3afa1455542469359f13c894a903d |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-b6f3afa1455542469359f13c894a903d2025-02-03T06:06:36ZengWileyGastroenterology Research and Practice1687-61211687-630X2010-01-01201010.1155/2010/490147490147Comparative Quality of Laparoscopic and Open Cholecystectomy in the Elderly Using Propensity Score Matching AnalysisKazuaki Kuwabara0Shinya Matsuda1Koichi Benjamin Ishikawa2Hiromasa Horiguchi3Kenji Fujimori4Department of Health Care Administration and Management, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, JapanDepartment of Preventive Medicine and Community Health, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8555, JapanStatistics and Cancer Control Division, National Cancer Center, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, JapanDepartment of Health Management and Policy, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, JapanDivision of Medical Management, Hokkaido University, 5 Nishi 14 Kita, Kita-ku, Sapporo, Hokkaido 060-8648, JapanThe safety of laparoscopic cholecystectomy (LC) in patients ≥65 years of age requires further investigation of postoperative outcomes before it becomes more widely accepted as a safe technique. The advantages of using LC versus open cholecystectomy (OC) in elderly patients were analyzed using propensity score matching. The demographics, cholecystitis severity, comorbidities, complications, and admission and discharge Barthel Index (BI) scores of patients with benign gallbladder diseases were analyzed. Outcomes were analyzed by age, length of stay (LOS), total charges (TCs), BI improvement, and postoperative complications. OC, which was indicated in severe disease cases, increased hospital resource use and caused more complications than LC, but did not improve BI. Advanced age and OC resulted in greater LOS and TCs and was the best indicator of BI deterioration. Whenever possible, surgeons should use LC in elderly patients to minimize postoperative complications and allow them to regain a good quality of life.http://dx.doi.org/10.1155/2010/490147 |
| spellingShingle | Kazuaki Kuwabara Shinya Matsuda Koichi Benjamin Ishikawa Hiromasa Horiguchi Kenji Fujimori Comparative Quality of Laparoscopic and Open Cholecystectomy in the Elderly Using Propensity Score Matching Analysis Gastroenterology Research and Practice |
| title | Comparative Quality of Laparoscopic and Open Cholecystectomy in the Elderly Using Propensity Score Matching Analysis |
| title_full | Comparative Quality of Laparoscopic and Open Cholecystectomy in the Elderly Using Propensity Score Matching Analysis |
| title_fullStr | Comparative Quality of Laparoscopic and Open Cholecystectomy in the Elderly Using Propensity Score Matching Analysis |
| title_full_unstemmed | Comparative Quality of Laparoscopic and Open Cholecystectomy in the Elderly Using Propensity Score Matching Analysis |
| title_short | Comparative Quality of Laparoscopic and Open Cholecystectomy in the Elderly Using Propensity Score Matching Analysis |
| title_sort | comparative quality of laparoscopic and open cholecystectomy in the elderly using propensity score matching analysis |
| url | http://dx.doi.org/10.1155/2010/490147 |
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