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Table 4 Postoperative serious complications based on the Clavien-Dindo classification according to the age of patients

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

Clavien-Dindo classification

Age < 60

(n = 723)

60 ≤ Age < 80

(n = 867)

Age ≥ 80

(n = 286)

Grade IIIa, n (%)

5 (0.7)

27 (3.1)

9 (3.1)

   Fluid collection with PCD insertion

2

14

4

   Bile leakage with ENBD/ERBD insertion

0

7

3

   CBD stone with endoscopic stone extraction

2

0

0

   Pleural effusion with PCD insertion

1

5

2

   Wound dehiscence with local repair

0

1

0

Grade IIIb, n (%)

3 (0.4)

2 (0.2)

1 (0.3)

   Mechanical ileus with re-operation

1

0

0

   Bile leakage with re-operation

1

0

0

   Wound dehiscence with re-operation

1

0

1

   Pressure sore with re-operation

0

1

0

   Empyema of the lung with re-operation

0

1

0

Grade IV, n (%)

1 (0.1)

6 (0.7)

7 (2.4)

   Bile leakage with ENBD insertion + ICU care

1

0

0

   Mechanical ileus with re-operation + ICU care

0

1

1

   Pneumonia with mechanical ventilator

0

2

4

   Fluid collection with PCD + ICU care

0

1

0

   Fluid collection with re-operation + ICU care

0

1

0

   Cerebrovascular accident + ICU care

0

1

1

   Hernia strangulation with re-operation + ICU care

0

0

1

Grade V, n (%)

0 (0.0)

1 (0.1)

6 (2.0)

   Pneumonia

0

1

4

   Organ space surgical site infection

0

0

2

Total, n (%)

9 (1.2)

36 (4.2)

23 (8.0)

  1. PCD: percutaneous drainage; ENBD: endoscopic nasobiliary drainage; ERBD: endoscopic retrograde biliary drainage; CBD: common bile duct; ICU: intensive care unit