Laparoscopic cholecystectomy in the elderly - A prospective study

Citation
P. Pessaux et al., Laparoscopic cholecystectomy in the elderly - A prospective study, SURG ENDOSC, 14(11), 2000, pp. 1067-1069
Citations number
20
Categorie Soggetti
Surgery
Journal title
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
ISSN journal
09302794 → ACNP
Volume
14
Issue
11
Year of publication
2000
Pages
1067 - 1069
Database
ISI
SICI code
0930-2794(200011)14:11<1067:LCITE->2.0.ZU;2-U
Abstract
Background: The aim of this prospective study was to determine the feasabil ity and the complications or benefits of laparoscopic cholecystectomy (LC) in the patients older than 75 years. Methods: From January 1992 to July 1998, a total of 863 patients underwent LC, of these patients, 102 patients older than 75 years (group 1) were comp ared with 761 younger patients (group 2). Results: In the elderly, 35.3% were at high surgical risk (American Society of Anesthesiology [ASA] III and ASA TV). The conversion rate to open chole cystectomy (OC) was 21.6%. The mean length of hospital stay was 6.9 days fo r both laparoscopy and conversion. Morbidity and mortality rates were 13.7% and 1%, respectively. No patient suffered intraoperative cardiopulmonary c omplication, and there was no reoperation in the elderly. Conclusions: Elderly patients experience more complications and longer dura tion of hospital stay than younger patients. However, our results compare f avorably with other OC studies in elderly patients.