РЕЗЮМЕ
В статье проведено сравнение эффективности нового метода лечения в улучшении результатов хирургического лечения больных пожилого возраста, страдающих холециститом с высоким индексом хрупкости. Исследования показали снижение частоты осложнений, ускорение заживления ран, сокращение койко-дня в результате положительного эффекта тактики лечения в основной группе. Изменение динамики индекса хрупкости в послеоперационном периодах было более положительным в основной группе.
Keywords: пожилые, холецистит, индекс хрупкости, лечение, осложнение

---

ЛИТЕРАТУРА

1. Gallaher JR, Charles A. Acute Cholecystitis: A Review. JAMA. 2022 Mar 8;327(10):965-75.
2. 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.
3. 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.
4. 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.
5. 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.
6. 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.
7. 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.
8. 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.
9. 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.
10. 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.
11. 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.
12. 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.