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[Laparoscopic cholecystectomy in the elderly patient]
N Passone-Szerzyna1, B Navez, E Cambier
1Hôpital St-Joseph, Gilly.
Annales De Chirurgie
|January 1, 1995
Summary
Laparoscopic cholecystectomy in elderly patients over 75 offers significant benefits with a zero mortality rate. This gallbladder surgery approach demonstrates a low morbidity rate, proving safer than traditional laparotomy for this demographic.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Geriatric Medicine
Context:
- Biliary surgery in elderly patients traditionally carries high risks.
- Laparoscopic cholecystectomy is increasingly adopted for gallbladder removal.
Purpose:
- To prospectively evaluate the safety and efficacy of laparoscopic cholecystectomy in patients aged 75 and older.
- To determine the specific complications and benefits associated with this minimally invasive procedure in the elderly population.
Summary:
- A prospective study included 75 patients over 75 undergoing laparoscopic cholecystectomy, with 43% at high surgical risk.
- Complications included acute cholecystitis and choledocholithiasis, managed preoperatively or intraoperatively.
- Eight conversions to laparotomy were required due to inflammation. The overall morbidity rate was 10.6%, with zero mortality.
Impact:
- Laparoscopic cholecystectomy is a well-tolerated procedure in elderly patients, offering a curative treatment for gallstones.
- This approach presents a lower morbidity rate compared to open laparotomy for geriatric patients.
- The findings support the use of minimally invasive gallbladder surgery in older adults, improving outcomes and reducing surgical risk.