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Table 2 Comparison of surgical outcomes according to the age

From: Acute cholecystitis in old adults: the impact of advanced age on the clinical characteristics of the disease and on the surgical outcomes of laparoscopic cholecystectomy

Variable

Total

(n = 1876)

Age < 60

(n = 723)

60 ≤ Age < 80

(n = 867)

Age ≥ 80

(n = 286)

P-value

Operation time, mean minutes (SD)

60.0 (27.0)

58.9 (26.7)

60.2 (25.6)

62.1 (31.4)

0.238

Estimated blood loss, mean mL (SD)

24.2 (62.7)

19.4 (51.6)

26.6 (69.0)

28.9 (67.6)

0.028

Adjacent organ injury detected during surgery, n (%)

22 (1.2)

5 (0.7)

11 (1.3)

6 (2.1)

0.163

   Bile duct

8 (0.4)

3 (0.4)

3 (0.3)

2 (0.7)

 

   Duodenum

2 (0.1)

1 (0.1)

1 (0.1)

0 (0.0)

 

   Colon

2 (0.1)

0 (0.0)

1 (0.1)

1 (0.3)

 

   Hepatic artery

6 (2.2)

1 (0.1)

3 (0.3)

2 (0.7)

 

   Small intestine

4 (0.2)

0 (0.0)

3 (0.3)

1 (0.3)

 

Open conversion, n (%)

16 (0.9)

1 (0.1)

9 (1.0)

6 (2.1)

0.007

Subtotal cholecystectomy, n (%)

10 (0.5)

4 (0.6)

4 (0.5)

2 (0.7)

0.888

Overall complication, n (%)

162 (8.6)

29 (4.0)

79 (9.1)

54 (18.9)

< 0.001

Serious complication (≥ C-D classification III), n (%)

68 (3.6)

9 (1.2)

36 (4.2)

23 (8.0)

< 0.001

90-day mortality, n (%)

7 (0.4)

0 (0.0)

1 (0.1)

6 (2.1)

< 0.001

Postoperative hospital stay, mean days (SD)

4.26 (25.88)

2.78 (2.02)

3.72 (5.17)

5.87 (9.22)

< 0.001

Total hospital stay, mean days (SD)

9.84 (26.36)

6.95 (3.76)

9.87 (6.64)

13.19 (10.69)

< 0.001

Surgical site infection, n (%)

65 (3.5)

11 (1.5)

36 (4.2)

18 (6.3)

< 0.001

Bile leakage, n (%)

12 (0.6)

2 (0.3)

7 (0.8)

3 (1.0)

0.268

Pulmonary complication, n (%)

45 (2.4)

4 (0.6)

22 (2.5)

19 (6.6)

< 0.001

Re-operation, n (%)

10 (0.5)

2 (0.3)

5 (0.6)

3 (1.0)

0.307

Re-admission, n (%)

14 (0.7)

2 (0.3)

7 (0.8)

5 (1.7)

0.048

Incisional hernia, n (%)

8 (0.4)

0 (0.0)

6 (0.7)

2 (0.7)

0.081

Incidental gallbladder cancer, n (%)

24 (1.3)

2 (0.3)

13 (1.5)

9 (3.1)

0.001

  1. SD: standard deviation; C-D classification, Clavien-Dindo classification