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Related Experiment Videos

Laparoscopic cholecystectomy in the elderly

F M Tagle1, J Lavergne, J S Barkin

  • 1Division of Gastroenterology, Mt. Sinai Medical Center, University of Miami, School of Medicine, 4300 Alton Road, Miami Beach, FL 33140, USA.

Surgical Endoscopy
|June 1, 1997
PubMed
Summary
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Laparoscopic cholecystectomy (LC) in patients aged 65 and older shows comparable morbidity to younger patients. However, the mortality rate for this elderly group is higher than previously reported for all age groups.

Area of Science:

  • Geriatric Surgery
  • Gastrointestinal Surgery
  • Surgical Outcomes

Background:

  • Advanced age and comorbidities may increase risks for laparoscopic cholecystectomy (LC).
  • Older patients may have higher rates of conversion to open cholecystectomy (OC).

Purpose of the Study:

  • To evaluate the outcomes of LC in patients aged 65 and older.
  • To compare complication and conversion rates in elderly patients undergoing LC.

Main Methods:

  • A consecutive series of 90 patients aged 65 and older undergoing LC were studied.
  • Patient demographics, indications for surgery, comorbidities, operative details, and outcomes were recorded.

Main Results:

  • The mean age was 74 years, with 22% of patients being 80 or older.

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  • The overall complication rate was 5%, with a 3% conversion rate to OC.
  • The mortality rate was 2%, with both deaths occurring in patients over 80.

    • Conclusions:

    • Morbidity rates for LC in the elderly are similar to those in younger patients.
    • The mortality rate in this elderly cohort was statistically higher than previously reported for all age groups.
    • Conversion rates to OC in the elderly are comparable to younger patient populations.