ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Laparoscopic cholecystectomy in elderly patients.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06601855 (Cholecystectomy Could be Performed in Adults Older Than 80 Years Old With Mild to Moderate Acute Cholecystitis), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Cholecystectomy Could be Performed in Adults Older Than 80 Years Old With Mild to Moderate Acute Cholecystitis
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Perioperative outcomes after laparoscopic cholecystectomy in elderly patients: a systematic review and meta-analysis.Surgical endoscopy · 2020Pooled it
- Percutaneous Transgastric Endoscopic Interventions.Seminars in interventional radiology · 2025Review
- Do the outcomes of robotic cholecystectomy in elderly worsen with age?Journal of robotic surgery · 2023Article
- The Safety of Laparoscopic Cholecystectomy in Super-elderly Patients: A Propensity Score Matching Analysis.Cureus · 2023Article
- The Modification of a Preoperative Scoring System to Predict Difficult Elective Laparoscopic Cholecystectomy.Journal of laparoendoscopic & advanced surgical techniques. Part A · 2023Article
- Effect of antithrombotic therapy on postoperative outcome of 538 consecutive emergency laparoscopic cholecystectomies for acute cholecystitis: two Italian center's study.Updates in surgery · 2021Article
- Safety of Laparoscopic Cholecystectomy for Acute Cholecystitis in the Elderly: A Multivariate Analysis of Risk Factors for Intra and Postoperative Complications.Medicina (Kaunas, Lithuania) · 2021Article
- Acute Cholecystitis in Very Elderly Patients: Disease Management, Outcomes, and Risk Factors for Complications.Surgery research and practice · 2019Article
- Clinical outcomes of laparoscopic cholecystectomy in elderly patients after preoperative assessment and optimization of comorbidities.Annals of hepato-biliary-pancreatic surgery · 2018Article
- Impact of preoperative management in patients older than 80 years requiring cholecystectomy.Annals of hepato-biliary-pancreatic surgery · 2018Article
- Article
- Feasibility and safety of single-incision laparoscopic cholecystectomy in elderly patients: A single institution, retrospective case series.Annals of medicine and surgery (2012) · 2017Article
- Laparoscopic Cholecystectomy in the Elderly: An Experience at a Tertiary Care Hospital in Western Nepal.Surgery research and practice · 2017Article
- Laparoscopic partial cholecystectomy: A safe and effective alternative surgical technique in "difficult cholecystectomies".Ulusal cerrahi dergisi · 2016Article
- Clinical outcome for laparoscopic cholecystectomy in extremely elderly patients.Annals of surgical treatment and research · 2015Article
- Thirty-day complications after laparoscopic or open cholecystectomy: a population-based cohort study in Italy.BMJ open · 2013Article
- The Association of Preoperative Risk Factors for Laparoscopic Conversion to Open Surgery in Elective Cholecystectomy.Euroasian journal of hepato-gastroenterologyArticle
- Outcomes of laparoscopic cholecystectomy in octogenarians.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
- Laparoscopic cholecystectomy in patients aged 60 years and over - our experience.Journal of medicine and lifeArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectiveIn this study, we investigated whether laparoscopic cholecystectomy, a minimally invasive procedure, is advantageous in elderly patients.
methodsData from 595 patients who underwent laparoscopic cholecystectomy between January 2003 and December 2007 were prospectively collected in a database. The patients were separated into 2 groups; patients >70 years of age (group A), and patients <70 years of age (group B). Group A was further divided into 3 subgroups, ages 70 to 74, 75 to 79, and 80 and above. Comparison between the groups was made with Mann-Whitney U and chi-square tests where appropriate.
resultsASA scores increased in conjunction with increased age (P<0.001). Of patients with an operative time longer than one hour, 26 patients aged 70 or older, and 152 patients aged 69 or younger had no difference with respect to PaCO2 and pH measurements (P>0.05). In patients aged 80 or older, the rates of acute cholecystitis, conversion to open surgery, and postoperative complications were significantly higher than in other groups (P>0.05).
conclusionWe believe that in elderly patients, laparoscopic surgery can be applied safely without further increasing the surgical risks. The complications can be minimized by carefully selecting the patients aged 80 or older and by experienced teams with high technical capabilities operating on such patients.
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