0544 9 Open_Amato:-
نویسندگان
چکیده
Laparoscopic cholecystectomy, nowadays, is considered the gold standard for the surgical treatment of cholecystolithiasis. However, due to relative or absolute contraindications, in high risk patients open cholecystectomy is preferred to laparoscopic approach. In fact, the conversion rate from laparoscopic to open traditional cholecystectomy, in case of inflammatory changes (acute, adherential or suppurative), is exceptionally high, with huge additional risks and costs (14). In high risk elderly this occurrence increases furthermore the length of intervention and, consequently, amplifies the rate of complications, hospital stay and mortality (5, 6). Also for this kind of patients, the traditional open cholecystectomy often leads to a high incidence of morbidity and mortality. The reports on minicholecystectomy in comparison with laparoscopic cholecystectomy are steadily increasing in the medical literature (7-12). This kind of open mini-invasive surgical procedure is however not well defined. Our opinion is that an undersized incision is not sufficient to classify a surgical procedure as mini-invasive. To reach a decrease in operative trauSUMMARY: Open mini-invasive cholecystectomy in high risk elderly. A review of 121 consecutive procedures.
منابع مشابه
Polynomial permutations on bounded commutative directoids with an antitone involution
Main results of Dorninger and Länger (J Pure Appl Math 40:441–449, 2007) concerning polynomial permutations on bounded lattices with an antitone involution are generalized to the case of bounded commutative directoids.
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