Outcome of laparoscopic cholecystectomy is not influenced by chronological age in the elderly

AIM： To evaluate the outcome of laparoscopic cholecystectomy （LC） in patients aged 80 years and older. METHODS： A total of 353 patients aged 65 to 79 years （group 1） and 35 patients aged 80 years and older （group 2） underwent LC. Patients were further classified into two other groups： those with unc...

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Published in:World journal of gastroenterology : WJG 2009-02, Vol.15 (6), p.722-726
Main Authors: Kim, Hyung-Ook, Yun, Jung-Won, Shin, Jun-Ho, Hwang, Sang-Il, Cho, Yong-Kyun, Son, Byung-Ho, Yoo, Chang-Hak, Park, Yong-Lai, Kim, Hungdai
Format: Article
Language:English
Subjects:
Age Factors
Aged
Aged, 80 and over
Brief
Cholecystectomy - methods
Gallstones - classification
Gallstones - surgery
Humans
Laparoscopy - methods
Length of Stay
Retrospective Studies
Treatment Outcome
治疗方法
老年人
胆囊切除术
胆囊炎
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Summary:AIM： To evaluate the outcome of laparoscopic cholecystectomy （LC） in patients aged 80 years and older. METHODS： A total of 353 patients aged 65 to 79 years （group 1） and 35 patients aged 80 years and older （group 2） underwent LC. Patients were further classified into two other groups： those with uncomplicated gallbladder disease （group A） or those with complicated gallbladder disease （group B）. RESULTS： There were no significant differences between the age groups （groups 1 and 2） with respect to clinical characteristics such as age, gender, comorbid disease, or disease presentation. Mean operative time, conversion rate, and the incidence of major postoperative complications were similar in groups 1 and 2. However, the percentage of high-risk patients was significantly higher in group 2 than in group 1 （20.0% vs 5.7%, P 〈 0.01）. Group A comprised 322 patients with a mean age of 71.0 ± 5.3 years, and group B comprised 51 patients with a mean age of 69.9 ± 4.8 years. Ingroup B, mean operative time （78.4 ± 49.3 min vs 58.3 ± 35.8 min, P 〈 0.01）, mean postoperative hospital stay （7.9 ± 6.5 d vs 5.0 ± 3.7 d, P 〈 0.01）, and the incidence of major postoperative complications （9.8% vs 3.1%, P 〈 0.05） were significantly greater than in group A. The conversion rate tended to be higher in group B, but this difference was not significant. CONCLUSION： Perioperative outcomes in elderly patients who underwent LC seem to be influenced by the severity of gallbladder disease, and not by chronologic age. In octogenarians, LC should be performed at an earlier, uncomplicated stage of the disease whenever possible to improve perioperative outcomes.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.15.722