Risk factors for elective laparoscopic cholecystectomy morbimortality in elderly

Area of Science:

• Geriatric Surgery
• Minimally Invasive Surgery
• Surgical Outcomes Research

Background:

• Laparoscopic cholecystectomy (LC) is a common procedure, but outcomes in elderly patients require specific investigation.
• Identifying risk factors for postoperative complications is crucial for optimizing care in older adults undergoing LC.

Purpose of the Study:

• To identify risk factors for postoperative complications in elderly patients undergoing elective laparoscopic cholecystectomy (LC).

Main Methods:

• Observational study analyzing medical records of 345 patients aged 60 years and older.
• Included elective LC cases between 2006-2018; excluded emergency surgeries and conversions to open procedures.
• Utilized Clavien-Dindo scale for complication grading and ASA physical status classification.

Main Results:

• Postoperative complications occurred in 11.3% of patients, predominantly low-grade (I/II).
• A single mortality was recorded.
• Increased risk of complications and mortality was associated with the presence and number of coexisting diseases and ASA II or III physical status.

Conclusions:

• Coexisting diseases and their severity (ASA classification) are significant risk factors for postoperative complications following LC in the elderly.
• Laparoscopic cholecystectomy is a safe and effective procedure for elderly patients, demonstrating low morbidity and mortality rates.