Laparoscopic cholecystectomy in geriatric patients

Area of Science:

• Minimally Invasive Surgery
• Geriatric Surgery
• Gastrointestinal Surgery

Background:

• Laparoscopic cholecystectomy in the elderly has limited data, with early reports suggesting high complication rates.
• This case series evaluates outcomes in a private practice setting for geriatric patients undergoing this procedure.

Purpose of the Study:

• To assess the safety and efficacy of laparoscopic cholecystectomy in patients aged 65 and older.
• To analyze outcomes across different geriatric age subgroups.

Main Methods:

• Retrospective review of 248 cholecystectomies performed by a single surgeon over 12 years.
• Analysis focused on 82 patients aged 65+ (grouped as 65-74, 75-84, 85-95).
• Comparison of laparoscopic versus open conversion rates and postoperative outcomes.

Main Results:

• 82 geriatric patients (mean age 79.5) underwent laparoscopic cholecystectomy for symptomatic gallbladder disease.
• Overall conversion rate was 3.6% (identical in geriatric cohort).
• 91% of geriatric patients were discharged within 24-48 hours; mortality was 2.4% (unrelated to surgical complications).

Conclusions:

• Laparoscopic cholecystectomy is a safe and viable option for geriatric patients.
• The procedure is recommended for symptomatic cholecystitis in the elderly prior to acute or advanced chronic disease stages.