A NEW APPROACH TO THE SURGICAL TREATMENT OF ELDERLY PATIENTS WITH STONE CHOLECYSTITIS WITH A HIGH FRAGILITY INDEX
Hagverdiyev B.D.
DOI: 10.61775/2413-3302.v2i32.08
ABSTRACT
The artice the aim of study was evaluating of the effectiveness of a new treatment method in improving the results
of surgical treatment of elderly patients suffering from cholecystitis with a high fraility index. Studies have shown
a decrease in the frequency of complications, acceleration of wound healing, and a reduction in hospital stay as a
result of the positive effect of treatment tactics in the main group. The change in the dynamics of the frailty index
in the short and longterm postoperative periods was more positive in the main group.
Keywords: elderly patients, cholecystitis, frailty index, treatment, complication
REFERENCES
- Gallaher JR, Charles A. Acute Cholecystitis: A Review. JAMA. 2022 Mar
8;327(10):965-75.
- Pisano M, Ceresoli M, Cimbanassi S, Gurusamy K, Coccolini F, Borzellino G, et al. 2017
WSES and SICG guidelines on acute calcolous cholecystitis in elderly population. World J
Emerg Surg. 2019 Dec;14(1):10.
- Gleason LJ, Benton EA, Alvarez-Nebreda ML, Weaver MJ, Harris MB, Javedan H.
FRAIL Questionnaire Screening Tool and Short-Term Outcomes in Geriatric Fracture
Patients. Journal of the American Medical Directors Association. 2017
Dec;18(12):1082-6.
- Aguilar-Frasco JL, Rodríguez-Quintero JH, Moctezuma-Velázquez P, Morales-Maza J,
Moctezuma-Velázquez C, Pastor-Sifuentes F, et al. Frailty index as a predictive
preoperative tool in the elder population undergoing major abdominal surgery: a
prospective analysis of clinical utility. Langenbecks Arch Surg. 2021 Jun;406(4):1189-98.
- Arteaga AS, Aguilar LT, González JT, Boza AS, Muñoz-Cruzado VD, Ciuró FP, et al.
Impact of frailty in surgical emergencies. A comparison of four frailty scales. Eur J
Trauma Emerg Surg. 2021 Oct;47(5):1613-9.
- Rosa F, Covino M, Cozza V, Fransvea P, Quero G, Fiorillo C, et al. Management of acute
cholecystitis in elderly patients: A propensity score-matched analysis of surgical vs.
medical treatment. Dig Liver Dis. 2021 Dec;53(12):1620-6.
- Riall TS, Zhang D, Townsend CM, Kuo YF, Goodwin JS. Failure to perform
cholecystectomy for acute cholecystitis in elderly patients is associated with increased
morbidity, mortality, and cost. J Am Coll Surg. 2010 May;210(5):668-77, 677-9.
- Rubert CP, Higa RA, Farias FVB. Comparison between open and laparoscopic elective
cholecystectomy in elderly, in a teaching hospital. Rev Col Bras Cir. 2016 Feb;43(1):2-5.
- Rolfson DB, Majumdar SR, Tsuyuki RT, Tahir A, Rockwood K. Validity and reliability of
the Edmonton Frail Scale. Age Ageing. 2006 Sep;35(5):526-9.
- Perna S, Francis MD, Bologna C, Moncaglieri F, Riva A, Morazzoni P, et al. Performance
of Edmonton Frail Scale on frailty assessment: its association with multi-dimensional
geriatric conditions assessed with specific screening tools. BMC Geriatr. 2017 Jan 4;17:2.
- Dindo D, Demartines N, Clavien PA. Classification of Surgical Complications: A New
Proposal With Evaluation in a Cohort of 6336 Patients and Results of a Survey. Annals of
Surgery. 2004 Aug;240(2):205-13.
- Duraes LC, Stocchi L, Steele SR, Kalady MF, Church JM, Gorgun E, et al. The
Relationship Between Clavien-Dindo Morbidity Classification and Oncologic Outcomes
After Colorectal Cancer Resection. Ann Surg Oncol. 2018 Jan;25(1):188-96.
|