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Single-port laparoscopic cholecystectomy in patients of advanced age: why not?
Joachim Reibetanz1, Mia Kim, Christoph-Thomas Germer
1Department of General, Visceral, Vascular and Pediatric Surgery, University Hospital of Wuerzburg, Wuerzburg, Germany. reibetanz_j@chirurgie.uni-wuerzburg.de
Objective:
To compare the perioperative outcome of elderly patients undergoing either single-port cholecystectomy (SPC) or standard multiport laparoscopic cholecystectomy (SMLC).
Patients And Methods:
Patients older than 50 years who underwent SPC using the reusable X-Cone were compared with age-matched, sex-matched, and body mass index-matched patients after SMLC, and postoperative outcome was analyzed.
Results:
Of 97 patients who underwent SPC during July 2009 and August 2011, 33 patients (34%) were older than 50 years. Baseline characteristics were comparable for either group, as was the operative time (min) (SPC: 82.7 ± 25.1 vs. SMLC: 83.9 ± 22.1; P=0.85), postoperative hospital stay (d) (SPC: 3.7 ± 1.6 vs. SMLC: 3.9 ± 1.5; P=0.61), and postoperative complication rate [SPC: 4 of 33 patients (12.1%) vs. SMLC: 3 of 33 patients (9.1%); P=1.0].
Conclusions:
Our study suggests that older age might not be predictive of an inferior outcome after SPC, compared with patients who were treated with the "golden standard."
