FEATURES OF CHOLECYSTECTOMY IN ELDERLY AND SENILE PATIENTS WITH SEVERE COMORBIDITIES

This article analyzes the specific challenges of surgical treatment for  cholelithiasis in geriatric patients presenting with advanced comorbidities (ischemic  heart disease, COPD, diabetes mellitus). The risks associated with standard high pressure carbon dioxide pneumoperitoneum, methods of preoperative optimization,  and alternative minimally invasive strategies are explored. The study emphasizes  the critical role of a multidisciplinary approach and the minimization of operative  and anesthetic stress to decrease postoperative mortality.