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[Clinical study on laparoscopic approach to cholelithiasis in the elderly]
L Napolitano1, M Waku, N Di Bartolomeo
1Università degli Studi G. D'Annunzio di Chieti, Dipartimento di Scienze Chirurgiche.
Il Giornale Di Chirurgia
|November 25, 2004
Summary
Laparoscopic cholecystectomy is safe and effective for elderly patients (≥75 years), even with comorbidities like acute cholecystitis. This minimally invasive approach reduces risks, widening surgical options for this demographic.
Area of Science:
- Surgical Innovation
- Geriatric Medicine
- Gastrointestinal Surgery
Context:
- Elderly patients (≥75 years) often present with complex health issues.
- Cholelithiasis and acute cholecystitis are common indications for cholecystectomy.
- Minimally invasive surgery is increasingly preferred for its benefits.
Purpose:
- To evaluate the safety and efficacy of laparoscopic cholecystectomy in patients aged 75 years and older.
- To assess the outcomes in elderly patients with acute cholecystitis and comorbidities.
Summary:
- 66 elderly patients (≥75 years) underwent laparoscopic cholecystectomy.
- High prevalence of cardiovascular disease (hypertension, myocardial infarction history), Parkinson's, and diabetes noted.
- Morbidity was 12% and mortality 1.5%, with 3 conversions due to adhesions.
Impact:
- Laparoscopic cholecystectomy is a viable and safe option for elderly patients.
- The technique expands indications for cholecystectomy in the geriatric population.
- Minimally invasive surgery can reduce risks associated with cholecystectomy in older adults.