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VOLUME 2 , ISSUE 1 ( January-April, 2009 ) > List of Articles

RESEARCH ARTICLE

Laparoscopic Cholecystectomy is Safe in the Elderly Patients

Mohend AN Alshalah

Citation Information : Alshalah MA. Laparoscopic Cholecystectomy is Safe in the Elderly Patients. World J Lap Surg 2009; 2 (1):23-26.

DOI: 10.5005/jp-journals-10007-1007

Published Online: 01-04-2009

Copyright Statement:  Copyright © 2009; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

The aim of this review was to evaluate the rate of laparoscopic surgery in elderly patients with gallstones and to compare it with their younger counterparts, also to study the safety and efficacy of laparoscopic cholecystectomy in elderly patients by comparing the results with open cholecystectomy (OC).

The relation between ages, comorbid diseases, mean operative time, hospital stay, the incidence of major postoperative complications and the rate of conversion were also evaluated.

Content

Twenty studies evaluated laparoscopic cholecystectomy in the elderly. Compared with open cholecystectomy, elderly patients undergoing the laparoscopic procedure had a lower incidence of complications and a shorter hospitalization. Advanced age with its concomitant comorbid conditions may be associated with increased postoperative laparoscopic cholecystectomy (LC) complications and more frequent conversion to open cholecystectomy (OC).

Material and methods

An electronic search using the Midline and the search engine Google, Springer link and Highwire press databases was performed using the term laparoscopy cholecystectomy in elderly patients. Literature published in the English language in the past 9 years was reviewed. Relevant surgical textbooks were also reviewed.

Methods literature searches were conducted to identify

(1) comparative studies which reported (LC) outcomes in elderly Compared with open cholecystectomy and; (2) Studies comparing outcomes of (LC)in elderly with their younger age group (3) Also comparing the outcome of elderly patients presented electively and urgently.

Conclusions

Underlying cardiopulmonary diseases, individuals older than 65 years tolerate laparoscopic cholecystectomy well. Postoperative complications and hospitalization are lower than in open cholecystectomy. Laparoscopic cholecystectomy is a safe procedure in gall bladder diseases.

Laparoscopic cholecystectomy is a safe procedure for acute Cholecystitis in elderly patients, resulting in fewer complications and shorter hospital stay than open cholecystectomy. Emergency LC surgery in elderly patients have higher rate of morbidity and mortality but less than in OC.


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