{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T03:22:18Z","timestamp":1752549738339},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[1996,8,1]],"date-time":"1996-08-01T00:00:00Z","timestamp":838857600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1996,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The results of laparoscopic cholecystectomy in a group of 52 patients older than 69 years (group 1) were compared with the results of the same operation in a group of 338 younger patients (group 2). In group 1, 23 per cent of patients had acute cholecystitis and 13 per cent were operated on after an episode of acute pancreatitis. In group 2, 8 per cent of patients had acute cholecystitis and 4 per cent were operated on after acute pancreatitis. Pulmonary function was assessed prospectively before operation, 24 h after surgery and on the seventh day after operation, in 20 patients in group 1 and 30 in group 2. In group 1 there was one death (2 per cent); the morbidity rate was 14 per cent and conversion to laparotomy was required in 15 per cent. In group 2 there were no deaths, the morbidity rate was 11 per cent and the conversion rate 4 per cent. No significant differences were found between the two groups in mortality and morbidity rates. Preoperative values of forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV1) were significantly lower in group 1 than in group 2 (P &amp;lt; 0\u00b705); the values of FVC, FEV1 and forced expiratory flow at 50 per cent 24 h after surgery were less depressed in group 1 (P &amp;lt; 0\u00b701) and also recovered more quickly in these patients 7 days after operation. Laparoscopic cholecystectomy gives excellent results in geriatric patients and can be recommended as the treatment of choice for symptomatic cholelithiasis in the elderly.<\/jats:p>","DOI":"10.1002\/bjs.1800830808","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T10:37:01Z","timestamp":1172918221000},"page":"1059-1061","source":"Crossref","is-referenced-by-count":12,"title":["Pulmonary function after laparoscopic cholecystectomy in the elderly"],"prefix":"10.1093","volume":"83","author":[{"given":"A","family":"Milheiro","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Coimbra Hospital , Coimbra,","place":["Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F Castro","family":"Sousa","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Coimbra Hospital , Coimbra,","place":["Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Department of Pneumology, University of Coimbra Hospital , Coimbra,","place":["Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M Jo\u00e3o","family":"Matos","sequence":"additional","affiliation":[{"name":"Department of Pneumology, University of Coimbra Hospital , Coimbra,","place":["Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1996,8,1]]},"reference":[{"key":"2024092910143560900_bib1","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1093\/bja\/68.2.211","article-title":"Ventilatory effects of laparoscopy under general anaesthesia","volume":"68","author":"Puri","year":"1992","journal-title":"Br J Anaesth"},{"key":"2024092910143560900_bib2","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1093\/bja\/44.11.1155","article-title":"Cardiac output and arterial blood-gas tension during laparoscopy","volume":"44","author":"Kelman","year":"1972","journal-title":"Br J Anaesth"},{"key":"2024092910143560900_bib3","first-page":"14","volume-title":"Minimally Invasive Surgery of the Foregut","author":"Morgan","year":"1994"},{"first-page":"10","volume-title":"Institute Nacional de Estat\u00edstica: Portugal Social (1985-1990)","year":"1992","key":"2024092910143560900_bib4"},{"key":"2024092910143560900_bib5","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1016\/S0039-6109(16)46287-0","article-title":"Minimally invasive surgery in the elderly patient","volume":"74","author":"Fried","year":"1994","journal-title":"Surg Clin North Am"},{"key":"2024092910143560900_bib6","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1016\/0002-9610(70)90246-1","article-title":"28621 cholecystectomies in Ohio. Results of a survey in Ohio hospitals by the Gallbladder Survey Committee, Ohio Chapter, American College of Surgeons","volume":"119","author":"Arnold","year":"1970","journal-title":"Am J Surg"},{"key":"2024092910143560900_bib7","first-page":"523","article-title":"Cholecystectomy in the aged","volume":"126","author":"Ibach","year":"1968","journal-title":"Surg Gynecol Obstet"},{"key":"2024092910143560900_bib8","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.1001\/archsurg.1978.01370220035006","article-title":"Acute cholecystitis in the elderly: a surgical emergency","volume":"113","author":"Morrow","year":"1978","journal-title":"Arch Surg"},{"key":"2024092910143560900_bib9","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1001\/archsurg.1986.01400080076013","article-title":"The improving results of Cholecystectomy","volume":"121","author":"Pickleman","year":"1986","journal-title":"Arch Surg"},{"key":"2024092910143560900_bib10","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1056\/NEJM199104183241601","article-title":"A prospective analysis of 1518 laparoscopic cholecystectomies","volume":"324","author":"The Southern Surgeons Club","year":"1991","journal-title":"N Engl J Med"},{"key":"2024092910143560900_bib11","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.1097\/00007611-198309000-00011","article-title":"Risk factors for Cholecystectomy: analysis of 935 patients","volume":"76","author":"Tucker","year":"1983","journal-title":"South Med J"},{"key":"2024092910143560900_bib12","first-page":"131","volume-title":"Monografias da Sociedade Portuguesa de Cirurgia I - Cirurgia Laparosc\u00f3pica","author":"Castro-Sousa","year":"1995"},{"key":"2024092910143560900_bib13","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1002\/bjs.1800790931","article-title":"Place of routine operative cholangiography at cholecystectomy","volume":"79","author":"Corder","year":"1992","journal-title":"Br J Surg"},{"key":"2024092910143560900_bib14","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1016\/0002-9610(82)90048-4","article-title":"The case against routine operative cholangiography","volume":"143","author":"Gerber","year":"1982","journal-title":"Am J Surg"},{"key":"2024092910143560900_bib15","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1136\/bmj.303.6813.1281","article-title":"Bile duct stones and laparoscopic Cholecystectomy","volume":"303","author":"Scott-Coombes","year":"1991","journal-title":"BMJ"},{"issue":"2076","key":"2024092910143560900_bib16","first-page":"109","article-title":"Colecistectomia laparosc\u00f3pica. Experi\u011bncia de 100 casos","volume":"127","author":"Teixeira","year":"1992","journal-title":"O M\u00e9dico"},{"key":"2024092910143560900_bib17","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/S0002-9610(05)80397-6","article-title":"Complications of laparoscopic cholecystectomy: a national survey of 4292 hospitals and an analysis of 77604 cases","volume":"165","author":"Deziel","year":"1993","journal-title":"Am J Surg"},{"key":"2024092910143560900_bib18","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1007\/BF01656101","article-title":"The current status of biliary tract surgery: an international study of 1072 consecutive patients","volume":"10","author":"DenBesten","year":"1986","journal-title":"World J Surg"},{"key":"2024092910143560900_bib19","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1016\/0002-9610(86)90466-6","article-title":"Cholecystectomy: clinical experience with a large series","volume":"151","author":"Ganey","year":"1986","journal-title":"Am J Surg"},{"key":"2024092910143560900_bib20","first-page":"636","article-title":"Emergency and elective surgery in patients over age 70","volume":"53","author":"Keller","year":"1987","journal-title":"Am Surg"},{"key":"2024092910143560900_bib21","first-page":"425","article-title":"Chirurgie de la lithiase biliaire apr\u00e8s 75 ans. \u00c9tude de 106 cas","volume":"6","author":"Adda","year":"1981","journal-title":"La Revue de G\u00e9riartrie"},{"key":"2024092910143560900_bib22","first-page":"442","article-title":"Symptomatic biliary tract disease in the elderly patient","volume":"52","author":"Harness","year":"1986","journal-title":"Am Surg"},{"key":"2024092910143560900_bib23","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1016\/0002-9610(83)90326-4","article-title":"Cholecystectomy in elderly patients","volume":"146","author":"Huber","year":"1983","journal-title":"Am J Surg"},{"key":"2024092910143560900_bib24","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/S0002-9610(88)80541-5","article-title":"Cholecystectomy in the elderly","volume":"156","author":"Margiotta","year":"1988","journal-title":"Am J Surg"},{"key":"2024092910143560900_bib25","first-page":"34","article-title":"Cholecystectomy in the elderly","volume":"54","author":"Margiotta","year":"1988","journal-title":"Am Surg"},{"key":"2024092910143560900_bib26","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1097\/00007611-198704000-00016","article-title":"Gallbladder surgery in patients over 60: is there an increased risk?","volume":"80","author":"Smith","year":"1987","journal-title":"South Med J"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800830808","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800830808","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/83\/8\/1059\/59428376\/bjs1800830808.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/83\/8\/1059\/59428376\/bjs1800830808.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,29]],"date-time":"2024-09-29T11:23:52Z","timestamp":1727609032000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/83\/8\/1059\/6166870"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,8,1]]},"references-count":26,"journal-issue":{"issue":"8","published-online":{"date-parts":[[1996,8,1]]},"published-print":{"date-parts":[[1996,8,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800830808","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[1996,8]]},"published":{"date-parts":[[1996,8,1]]}}}