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Cholecystectomy in the elderly.

J P Pigott1, G B Williams

  • 1Department of Surgery, Akron City Hospital, Ohio.

American Journal of Surgery
|March 1, 1988
PubMed
Summary
This summary is machine-generated.

Elderly patients tolerate cholecystectomy well, especially before complications arise. Early surgery for gallstones in seniors can prevent illness, but prophylactic surgery cost-effectiveness requires more data.

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Area of Science:

  • Geriatric Medicine
  • Surgical Gastroenterology
  • Biliary Tract Surgery

Background:

  • Cholelithiasis (gallstones) is common in the elderly.
  • Acute biliary complications increase with age at the time of cholecystectomy.
  • The elderly generally tolerate biliary tract operations well.

Purpose of the Study:

  • To analyze outcomes of cholecystectomy in elderly patients.
  • To determine the relationship between patient age and acute biliary complications.
  • To evaluate the benefits of early versus prophylactic cholecystectomy.

Main Methods:

  • Retrospective review of 347 elderly patients undergoing cholecystectomy.
  • Analysis of patient age at the time of surgery.
  • Correlation of age with incidence of acute biliary complications.

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Main Results:

  • Older age at cholecystectomy correlates with higher rates of acute biliary complications.
  • Elderly patients tolerate biliary tract operations well, particularly before complications occur.
  • Early cholecystectomy can mitigate morbidity from gallstone disease progression.

Conclusions:

  • Prompt cholecystectomy is advisable for elderly patients with symptomatic cholelithiasis to prevent complications.
  • Further research on the natural history and incidence of gallstones in the elderly is needed to assess the cost-effectiveness of prophylactic surgery for asymptomatic cases.