[Biliary tract surgery in patients of 70 and older: an assessment of our experience with 100 consecutive cases].
A series of 100 consecutive patients aged 70 years and older having biliary tract lithiasis observed over a 19-year period (1970-1989) at the 1st Surgical Department of the University of Rome was analyzed in an effort to define morbidity and mortality. Eighty-eight patients underwent surgical treatment. Three patients died postoperatively (3.4%); 12 patients had local and 13 general complications. The highest incidence of complications occurred in patients with associated diseases and bacteriobilia. A long-lasting symptomatology involved a more frequent exploration of the common bile duct. Morbidity and mortality were not significantly related to the type of surgical procedure performed. Elective biliary tract surgery is a safe procedure even in aged patients.
Caporale
A
A
I Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi La Sapienza, Roma.
Giuliani
A
A
Della Casa
U
U
Aurello
P
P
De Ligio
F
F
Borghese
M
M
Biolcati
F
F
Sita
A
A
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001662:Biliary Tract Surgical Procedures / Q000009:adverse effects / Q000706:statistics & numerical data; D002763:Cholecystectomy / Q000009:adverse effects / Q000706:statistics & numerical data; D002769:Cholelithiasis / Q000150:complications / Q000453:epidemiology / Q000601:surgery; D005260:Female; D006801:Humans; D015994:Incidence; D007558:Italy / Q000453:epidemiology; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies
La chirurgia delle vie biliari nei pazienti di 70 anni ed oltre: bilancio di una esperienza su 100 casi consecutivi.