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Related Experiment Videos

Laparoscopic splenectomy in the elderly: a morbid procedure?

S M Kavic1, R D Segan, A E Park

  • 1Division of General Surgery, University of Maryland Medical Center, 22 South Greene Street, Room S4B14, Baltimore, MD 21201-1595, USA.

Surgical Endoscopy
|September 29, 2005
PubMed
Summary

Elderly patients undergoing laparoscopic splenectomy face higher complication rates. However, complication risks are comparable when adjusted for American Society of Anesthesiology (ASA) class.

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Area of Science:

  • Minimally invasive surgery
  • Geriatric surgery
  • Surgical outcomes

Background:

  • Laparoscopic splenectomy is the standard for elective spleen removal.
  • Limited data exists on outcomes in elderly populations.

Purpose of the Study:

  • To evaluate the safety and efficacy of laparoscopic splenectomy in elderly patients.
  • Compare outcomes between younger and older adult patients.

Main Methods:

  • Retrospective review of laparoscopic splenectomies from August 1998 to June 2004.
  • Patients divided into two groups: <65 years and ≥65 years.
  • Analysis of operative characteristics, hospital stay, and complication rates.

Main Results:

  • 45 elderly patients (≥65 years) and 188 younger patients (<65 years) were included.

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  • Elderly patients had a longer hospital stay (3.9 vs. 2.2 days).
  • Complication rates were higher in the elderly group (17.8% vs. 8.5%).

    • Conclusions:

    • Elderly patients experience increased complications after laparoscopic splenectomy.
    • Complication rates are similar between age groups when matched for ASA class.
    • Higher ASA class prevalence in elderly patients contributes to observed differences.