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Assessment of clinical outcome of cholecystectomy according to age in preparation for the "Silver Tsunami".

Abstract：

BACKGROUND:Recent rapid increases in the aging population have created an impending "Silver Tsunami" in advanced countries. The overall prevalence of gallstone disease and its related complications will soon increase, and there will be a larger demand for gallbladder surgery. METHODS:We examined the outcomes of cholecystectomy according to age among patients with cholelithiasis to determine how a patient's age influences the outcome of cholecystectomy. All patients with gallstone disease who presented for cholecystectomy at our institute from January 2006 to December 2018 were analyzed. RESULTS:All perioperative outcomes (operation length, length of hospital stay, rate of open surgery, urgent surgery, postoperative complications, incidental gallbladder cancer, postoperative hospital death, concomitant bile duct stones, and total medical costs per patient) increased as patients aged. CONCLUSIONS:To prevent the progression of biliary disease, elective laparoscopic cholecystectomy is recommended before patients with cholelithiasis advance in age.

journal_name

Am J Surg

journal_title

American journal of surgery

authors

Matsui Y,Hirooka S,Yamaki S,Kotsuka M,Kosaka H,Yamamoto T,Satoi S

doi

10.1016/j.amjsurg.2019.01.021

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

567-570

issue

3

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(18)31572-1

journal_volume

218

pub_type

杂志文章

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