THE AGE FACTOR IN THE DEVELOPMENT OF PERIOPERATIVE COMPLICATIONS DURING THE SURGICAL TREATMENT OF CALCULOUS CHOLECYSTITIS

Summary. Elderly and senile patients in surgery are associated with numerous concomitant diseases, reduced functional reserve high anesthetic risk.
 Aim. To assess the frequency nature of perioperative complications elderly after laparoscopic cholecystectomy for acute or chronic calculous cholecystitis.
 Materials methods. We analyzed qualitative quantitative characteristics intraoperative postoperative 180 aged 60 to 90 years (elderly senile) cholecystitis. The comparison group consisted 200 25 44 years. procedure choice all was cholecystectomy.
 Results. In patients, occurred more often (p<0.05) than under age. No significant differences were observed only bleeding from gallbladder artery, intrahepatic localization gallbladder, local peritonitis hydrops. 20 (11.1 %) cases, there a need conversion (p=0.0002). Complications 29.4 % against 10.5 young (p<0.001). difference number minor complications: Clavien Dindo-1, Dindo-2 Dindo-2a improbable. Dindo-2b (5.0 (p<0.05), Dindo-3 Dindo-4 (4.4 often.
 Conclusions. Patients over age likely have problems during higher risk severe that require invasive procedures may cause patient death.