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Laparoscopic cholecystectomy in the elderly.

R K Annamaneni1, D Moraitis, C G Cayten

  • 1Department of Surgery, Our Lady of Mercy Healthcare System, New York Medical College, Bronx, New York, USA. ravpal@hotmail.com

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|December 31, 2005
PubMed
Summary

Laparoscopic cholecystectomy is a safe and feasible procedure for elderly patients, including those over 70. While older patients may experience slightly longer hospital stays and more complications, age should not prevent this surgery.

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Area of Science:

  • Surgical Innovation
  • Geriatric Medicine
  • Gastroenterology

Background:

  • Laparoscopic cholecystectomy is a common procedure.
  • Elderly patients present unique challenges for surgical interventions.

Purpose of the Study:

  • To evaluate the outcomes of laparoscopic cholecystectomy in patients aged 65 and older.
  • To determine the safety and feasibility of this procedure in the elderly population.

Main Methods:

  • Retrospective chart review of patients aged 65+ who underwent laparoscopic cholecystectomy.
  • Data collected included demographics, comorbidities, ASA scores, morbidity, mortality, and length of stay.
  • Statistical analysis using Fisher's exact test and chi-square analysis.

Main Results:

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  • The study included 46 patients, with 63% aged 70 or older.
  • Patients 70+ had significantly higher ASA scores and required urgent surgery more often.
  • No mortalities occurred; 13% experienced postoperative complications, primarily chest infections. Patients 70+ had longer postoperative stays.

Conclusions:

  • Laparoscopic cholecystectomy is safe and feasible in elderly patients.
  • Patients aged 70 and above may have longer postoperative stays and slightly more complications.
  • Age should not be a contraindication for laparoscopic cholecystectomy in the elderly.