From: Outcomes after laparoscopic cholecystectomy in patients older than 80 years: two-years follow-up
Total population (n = 144) | Alive at 2 years (n = 107) | Dead at 2 years (n = 37) | p-value | |
---|---|---|---|---|
Age (y), median (IQR) | 90.00 (8.00) | 90.00 (8.00) | 92.00 (6.50) | 0.019* |
Sex, n (%) Female Male | 82 (56.94) 62 (43.05) | 60 (56.07) 47 (43.92) | 22 (59.45) 15 (40.54) | 0.720 |
Body mass index (kg/m2), median (IQR) | 24.20 (4.51) | 24.29 (4.63) | 24.00 (5.12) | 0.651* |
ASA classification, n (%) 1 2 3 4 | 2 (1.38) 62 (43.05) 74 (51.38) 6 (4.16) | 2 (1.86) 54 (50.46) 47 (43.92) 4 (3.73) | 0 (0.00) 8 (21.62) 27 (72.97) 2 (5.40) | 0.013 |
Comorbidity, n (%) Diabetes mellitus Arterial hypertension Chronic obstructive pulmonary disease Chronic kidney disease Cardiovascular disease Liver disease | 27 (18.75) 108 (75.00) 37 (25.69) 19 (13.19) 32 (22.22) 3 (2.08) | 18 (16.82) 80 (74.76) 28 (26.16) 13 (12.14) 19 (17.75) 2 (1.86) | 9 (24.32) 28 (75.67) 9 (24.32) 6 (16.21) 13 (35.13) 1 (2.70) | 0.314 0.912 0.825 0.529 0.028 0.760 |
Charlson comorbidity index, median (IQR) | 6.00 (2.00) | 6.00 (2.00) | 6.00 (1.00) | 0.067* |
Anticoagulants agents, n (%) | 13 (9.02) | 8 (7.47) | 5 (13.51) | 0.269 |
Antiplatelet agents, n (%) | 32 (22.22) | 23 (21.49) | 9 (24.32) | 0.721 |
Preoperative laboratories, median (IQR) Leukocytes (x103) Hemoglobin (mg/dL) Bilirubins (mg/dL) Alkaline phosphatase (mg/dL) Aspartate aminotransferase (mg/dL) Alanine aminotransferase (mg/dL) | 11.9 (3.37) 13.70 (2.65) 1.20 (1.78) 150.00 (148.50) 33.50 (75.50) 40.00 (106.75) | 11.90 (6.90) 13.80 (2.60) 1.20 (1.73) 150.00 (140.00) 32.00 (102.00) 40.00 (106) | 11.30 (6.45) 13.00 (3.60) 1.20 (1.94) 150.00 (183.50) 36.00 (60.00) 36.00 (106.50) | 0.488* 0.010* 0.863* 0.443* 0.619* 0.389* |
Bile duct diameter, (mm) median (IQR) | 4.00 (4.00) | 5.00 (4.00) | 4.00 (2.50) | 0.111* |
Indication of surgical procedure, n (%) Biliary colic Pancreatitis Choledocholithiasis Acute cholecystitis | 21 (14.58) 24 (16.66) 44 (30.55) 89 (61.80) | 19 (17.75) 17 (11.88) 34 (31.77) 60 (56.07) | 2 (5.40) 7 (18.91) 10 (27.02) 29 (78.37) | 0.670 0.589 0.016 |
Classification of severity of cholecystitis, n (%) I II III | 11 (7.63) 32 (22.22) 46 (31.94) | 6 (56.07) 23 (21.49) 31 (28.97) | 5 (13.51) 9 (24.32) 15 (40.54) | 0.069 |
Preoperative ERCP, n (%) No Yes | 92 (63.88) 52 (36.11) | 67 (62.61) 40 (37.38) | 25 (67.56) 12 (32.43) | 0.589 |
Type of admission, n (%) Elective Delayed Emergency | 9 (6.25) 126 (87.50) 9 (6.25) | 8 (7.47) 95 (88.78) 4 (3.73) | 1 (2.70) 31 (83.78) 5 (13.51) | 0.071 |
History of cholecystostomy, n (%) No Yes | 139 (96.52) 5 (3.47) | 105 (98.13) 2 (1.86) | 34 (91.89) 3 (8.10) | 0.074 |
Time from admission to surgical procedure (days), median (IQR) | 6.00 (6.50) | 6.00 (6.00) | 8.00 (6.50) | 0.107* |
Preoperative risk scale for difficult laparoscopic cholecystectomy, median (IQR) | 9.00 (5.00) | 8.00 (6.00) | 0.013* | |
Intraoperative findings according to Nassar scale 1 2 3 4 5 | 36 (25.00) 33 (22.91) 23 (15.97) 24 (16.66) 28 (19.44) | 28 (26.16) 24 (22.42) 17 (15.88) 19 (17.75) 19 (17.75) | 8 (21.62) 9 (24.32) 6 (16.21) 5 (13.51) 9 ((24.32) | 0.882 |