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Laparoscopic cholecystectomy in octogenarians

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Background: This study aimed to assess the outcome of laparoscopic cholecystectomy (LC) in patients 80 years old or older. Methods: All consecutive patients 80 years old or older who underwent LC for symptomatic gallstone disease were evaluated. Data analysis included patients’ age, gender, indication for surgery, comorbid condition, American Society of Anesthesiology (ASA) score, preoperative endoscopic retrograde cholangio pancreatography (ERCP), intraoperative cholangiogram, operative time, conversion to open surgery, morbidity, mortality, and length of stay. Results: In this study, 67 patients (31 men and 36 women) with a mean age of 84 years (range, 80–90 years) were evaluated. Of these 67 patients, 38 (57%) underwent surgery for complicated diseases including acute cholecystitis in 15 patients (22%), gallstone pancreatitis in 17 patients (25%), cholangitis in 3 patients (4.5%), and obstructive jaundice in 3 patients (4.5%). A total of 38 patients (57%) had a preoperative ASA of 3 or 4; 23 (34%) had a preoperative ERCP; and 6 (9%) had intraoperative cholangiogram. The mean operative time was 94 ± 20 min. Five patients (7.4%) underwent conversion to open surgery because of unclear anatomy. Complications occurred in 12 patients (18%) including pulmonary edema in 3 patients, myocardial infarction in 1 patient, atelectasis in 2 patients, common bile duct injury in 1 patient, urinary tract infection in 2 patients, wound infection in 2 patients, and intraabdominal infected hematoma in 1 patient. The mean length of stay was 5.3 days. There was no mortality. Conclusions: In octogenarians LC is safe and associated with acceptable morbidity and mortality. Therefore, it should be considered for this age group. The relatively high incidence of complicated gallstone disease in this age group may be decreased if surgery is offered to them at earlier stage of the disease, leading to further decrease in perioperative morbidity.

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  1. 1

    LM Brunt MA Quasebarth DL Dunnegan NJ Soper (2001) ArticleTitleOutcome analysis of laparoscopic cholecystectomy in the extremely elderly. Surg Endosc 15 700–705 Occurrence Handle10.1007/s004640000388 Occurrence Handle1:STN:280:DC%2BD3MrksV2ksw%3D%3D Occurrence Handle11591971

  2. 2

    A Bufalari M Ferri P Cao R Cirrocchi R Bisacci L Moggi (1996) ArticleTitleSurgical care in octogenarians. Br J Surg 83 1783–1787 Occurrence Handle1:STN:280:ByiC1M%2FmtFQ%3D Occurrence Handle9038570

  3. 3

    JJ Escarce JA Shea W Chen Z Ian JS Schwartz (1995) ArticleTitleOutcomes of open cholecystectomy in the elderly: a longitudinal analysis of 21,000 cases in the prelaparoscopic era. Surgery 117 156–164 Occurrence Handle7846619

  4. 4

    GM Fried D Clas JL Meakins (1994) ArticleTitleMinimally invasive surgery in the elderly patient. Surg Clin North Am 74 375–387 Occurrence Handle1:STN:280:ByuB3Mfnt1Q%3D Occurrence Handle8165473

  5. 5

    ML Krasman WA Gracie SR Strasius (1991) ArticleTitleBiliary tract disease in the aged. Clin Geriatr Med 7 347–370 Occurrence Handle1:STN:280:By6A3cbgtVQ%3D Occurrence Handle1855163

  6. 6

    JA Lujan F Sanchez-Bueno P Parrilla R Robles JA Torralba R Gonzalez-Costea (1998) ArticleTitleLaparoscopic vs open cholecystectomy in patients aged 65 and older. Surg Laparosc Endosc 8 208–210 Occurrence Handle10.1097/00019509-199806000-00009 Occurrence Handle1:STN:280:DyaK1czhtFekuw%3D%3D Occurrence Handle9649045

  7. 7

    TH Magnuson LE Ratner ME Zenilman JS Bender (1997) ArticleTitleLaparoscopic cholecystectomy: applicability in the geriatric population. Am Surg 63 91–99 Occurrence Handle1:STN:280:ByiC3sfgsFY%3D Occurrence Handle8985078

  8. 8

    JG Maxwell BA Tyler R Rutledge CC Brinker BG Maxwell DL Covington (1998) ArticleTitleLaparoscopic cholecystectomy in octogenarians. Am J Surg 176 627–631 Occurrence Handle1:STN:280:DyaK1M7itl2qsQ%3D%3D Occurrence Handle9926803

  9. 9

    RP Nennex PJ Impenato CM Alcorn (1992) ArticleTitleComplications of laparoscopic cholecystectomy in a geriatric population group. NY State J Med 12 518–520

  10. 10

    P Pessaux JJ Tuech N Derouet C Rouge N Regent JP Arnaud (2000) ArticleTitleLaparoscopic cholecystectomy in the elderly. Surg Endosc 14 1067–1069 Occurrence Handle1:STN:280:DC%2BD3M%2FovFequg%3D%3D Occurrence Handle11116421

  11. 11

    M Rorbaek-Madsen G Dupont K Kristensen T Holm J Soresen H Dahger (1992) ArticleTitleGeneral surgery in patients aged 80 and older. Br J Surg 79 1216–1218 Occurrence Handle1:STN:280:ByyC3crgvFA%3D Occurrence Handle1467909

  12. 12

    JJ Roslyn GS Binns EF Hughes KK Saunders MJ Zinner JA Cates (1993) ArticleTitleOpen cholecystectomy: a contemporary analysis of 42,474 patients. Ann Surg 218 129–137 Occurrence Handle1:STN:280:ByyA2czmsl0%3D Occurrence Handle8342992

  13. 13

    InstitutionalAuthorNameSouthern Surgeons Club (1991) ArticleTitleA prospective analysis of 1,518 laparoscopic cholecystecomies. N Engl J Med 324 1073–1078 Occurrence Handle1826143

  14. 14

    FM Tagle J Lavergne JS Barkin SW Unger (1997) ArticleTitleLaparoscopic cholecystectomy in the elderly. Surg Endosc 11 636–638 Occurrence Handle10.1007/s004649900410 Occurrence Handle1:STN:280:ByiA3Mrjslw%3D Occurrence Handle9171122

  15. 15

    J Uecker M Adams K Skipper E Dunn (2001) ArticleTitleCholecystitis in the octogenarian: is laparoscopic cholecystectomy the best approach? Am Surg 67 637–640 Occurrence Handle1:STN:280:DC%2BD3MzpvFyguw%3D%3D Occurrence Handle11450778

  16. 16

    InstitutionalAuthorNameU.S. Bureau of the Census (1984) Current population reports, series P-25, N. 952, projections of the population of the United States by age, sex, and race: 1983–2080. U.S. Government Printing Office Washington, DC

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Correspondence to E. Shiloni.

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Hazzan, D., Geron, N., Golijanin, D. et al. Laparoscopic cholecystectomy in octogenarians . Surg Endosc 17, 773–776 (2003). https://doi.org/10.1007/s00464-002-8529-z

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  • Octogenarians
  • Elderly
  • Laparoscopic cholecystectomy