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Related Experiment Videos

Laparoscopic cholecystectomy in octogenarians.

D Hazzan1, N Geron, D Golijanin

  • 1Department of Surgery B, Carmel Medical Center, 7 Michal St. Haifa 34362, Israel.

Surgical Endoscopy
|March 5, 2003
PubMed
Summary

Laparoscopic cholecystectomy is safe for patients 80 and older, with acceptable outcomes. Offering surgery earlier may reduce complications in this age group.

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Area of Science:

  • Surgical Outcomes
  • Geriatric Surgery
  • Gallstone Disease Management

Background:

  • Assessing the safety and efficacy of laparoscopic cholecystectomy (LC) in elderly patients (80+ years).
  • Evaluating surgical outcomes in a vulnerable patient population with symptomatic gallstone disease.

Purpose of the Study:

  • To determine the outcomes of LC in patients aged 80 years and older.
  • To analyze the safety, morbidity, and mortality associated with LC in octogenarians.

Main Methods:

  • Retrospective analysis of consecutive patients aged 80+ undergoing LC for gallstone disease.
  • Data collected included patient demographics, comorbidities, American Society of Anesthesiology (ASA) scores, preoperative procedures (ERCP, cholangiogram), operative details, complications, and length of stay.

Main Results:

  • 67 octogenarians (mean age 84) underwent LC; 57% had complicated gallstone disease.
  • Complications occurred in 18% of patients; no mortality was observed.
  • Mean operative time was 94 minutes, with 7.4% conversion to open surgery; mean length of stay was 5.3 days.

Conclusions:

  • Laparoscopic cholecystectomy is a safe procedure for octogenarians with acceptable morbidity and mortality.
  • Early surgical intervention for gallstone disease in the elderly may reduce perioperative complications.
  • LC should be considered for elderly patients with symptomatic gallstone disease.

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