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Surg Endosc. 2000 Nov;14(11):1067-9.

Laparoscopic cholecystectomy in the elderly: a prospective study.

Author information

1
Department of Visceral Surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France.

Abstract

BACKGROUND:

The aim of this prospective study was to determine the feasibility 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.

PMID:
11116421
[Indexed for MEDLINE]

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