Abstract
Background: The aim of this prospective study was to determine the feasability and the complications or benefits of laparoscopic cholecystectomy (LC) in the patients older than 75 years.
Methods: From January 1992 to July 1998, a total of 863 patients underwent LC, of these patients, 102 patients older than 75 years (group 1) were compared with 761 younger patients (group 2).
Results: In the elderly, 35.3% were at high surgical risk (American Society of Anesthesiology [ASA] III and ASA IV). The conversion rate to open cholecystectomy (OC) was 21.6%. The mean length of hospital stay was 6.9 days for both laparoscopy and conversion. Morbidity and mortality rates were 13.7% and 1%, respectively. No patient suffered intraoperative cardiopulmonary complication, and there was no reoperation in the elderly.
Conclusions: Elderly patients experience more complications and longer duration of hospital stay than younger patients. However, our results compare favorably with other OC studies in elderly patients.
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Received: 24 February 1999/Accepted: 13 September 1999/Online publication: 26 July 2000
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Pessaux, P., Tuech, JJ., Derouet, N. et al. Laparoscopic cholecystectomy in the elderly. Surg Endosc 14, 1067–1069 (2000). https://doi.org/10.1007/s004640010075
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DOI: https://doi.org/10.1007/s004640010075