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Related Experiment Videos

Laparoscopic cholecystectomy in elderly patients.

Alexandros Polychronidis1, Sotirios Botaitis, Alexandra Tsaroucha

  • 12nd Department of Surgery Democritus University of Thrace, Alexandropoulis 68100, Greece. polych@med.duth.gr

Journal of Gastrointestinal and Liver Diseases : JGLD
|October 7, 2008
PubMed
Summary

Laparoscopic cholecystectomy (LC) is a safe treatment for gallstones in elderly patients (≥75 years). While older patients had higher conversion rates, LC remains the gold standard, with inflammation being a key risk factor.

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Area of Science:

  • Surgical Gastroenterology
  • Geriatric Surgery

Background:

  • Cholelithiasis surgery is increasingly common in aging populations.
  • Laparoscopic cholecystectomy (LC) in elderly patients may present challenges due to comorbidities, potentially increasing complications and conversion rates.
  • This study evaluates LC outcomes in patients aged 75 and older.

Purpose of the Study:

  • To assess the safety and efficacy of laparoscopic cholecystectomy (LC) for treating symptomatic cholelithiasis in elderly patients (≥75 years).
  • To compare LC outcomes in elderly patients versus younger counterparts.

Main Methods:

  • A retrospective analysis of 153 patients aged ≥75 who underwent LC for symptomatic cholelithiasis.
  • Comparison of conversion rates, complication rates, operative times, and hospital stays between elderly and younger patient groups.

Related Experiment Videos

  • Multivariate analysis was employed to control for baseline differences.

    • Main Results:

    • Elderly patients showed a higher conversion rate to open surgery (13.1% vs. 5.8%) and a higher complication rate (3.9% vs. 1.6%) compared to younger patients.
    • Operative times were slightly longer in the elderly group (50 min vs. 45 min).
    • No significant difference in hospital stay was observed for successful LC procedures; inflammation was an independent risk factor for conversion and complications in the elderly.

    Conclusions:

    • Laparoscopic cholecystectomy (LC) is a safe and effective treatment for gallstones in elderly patients.
    • Despite potential challenges, LC should be considered the gold-standard surgical approach for cholelithiasis in the geriatric population.
    • Inflammation emerged as a significant predictor of adverse outcomes in elderly patients undergoing LC.