ArticleUpdates in surgery2014
Cholecystectomy in octogenarians: be careful.
Article in Updates in surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- Percutaneous cholecystostomy versus emergency cholecystectomy for the treatment of acute calculous cholecystitis in high-risk surgical patients: a meta-analysis and systematic review.Updates in surgery · 2022Pooled it
- Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): multicentre randomised clinical trial.BMJ (Clinical research ed.) · 2018Trial
- Impact of age on outcomes and hospital costs of urgent laparoscopic cholecystectomy for acute cholecystitis: a retrospective cohort study.BMC surgery · 2025Article
- One-year outcomes of elderly acute cholecystitis patients by index treatment.Frontiers in surgery · 2025Article
- Article
- Retrospective comparison of clinical outcomes of ultrasound-guided percutaneous cholecystostomy in patients with and without coagulopathy: a single center's experience.Japanese journal of radiology · 2023Article
- Readmissions After Biliary Acute Pancreatitis: Analysis of the Nationwide Readmissions Database.Gastroenterology research · 2022Article
- Characteristics and clinical outcomes of patients over 80 years of age with acute pancreatitis.European geriatric medicine · 2022Article
- Clinical Profile and Evaluation of Outcomes of Symptomatic Gallstone Disease in the Senior Citizen Population.Cureus · 2022Article
- Early laparoscopic cholecystectomy in oldest-old patients: a propensity score matched analysis of a nationwide registry.Updates in surgery · 2022Article
- Role of percutaneous cholecystostomy in all-comers with acute cholecystitis according to current guidelines in a general surgical unit.Updates in surgery · 2021Observational
- 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
- Retrospective Analysis of Outcomes Following Percutaneous Cholecystostomy for Acute Cholecystitis.World journal of surgery · 2020Article
- Clinical outcomes of laparoscopic cholecystectomy in elderly patients after preoperative assessment and optimization of comorbidities.Annals of hepato-biliary-pancreatic surgery · 2018Article
- Histopathological gallbladder morphometric measurements in geriatric patients with symptomatic chronic cholecystitis.Irish journal of medical science · 2016Article
- Trends in Follow-Up of Patients Presenting to the Emergency Department with Symptomatic Cholelithiasis.Journal of the American College of Surgeons · 2016Article
- Geriatric Assessment as a qualification element for elective and emergency cholecystectomy in older patients.World journal of emergency surgery : WJES · 2016Article
- 2016 WSES guidelines on acute calculous cholecystitis.World journal of emergency surgery : WJES · 2016Review
- The risk paradox: use of elective cholecystectomy in older patients is independent of their risk of developing complications.Journal of the American College of Surgeons · 2015Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Cholecystectomy is the standard treatment for symptomatic gallstone or acute cholecystitis, and a growing number of elderly patients are undergoing resection. The aim of this study is to evaluate the clinical outcome of cholecystectomy in elderly patients. We retrospectively reviewed the medical records of 337 patients with symptomatic gallstone or acute cholecystitis who underwent cholecystectomies between January 2011 and June 2013. Perioperative data were compared between octogenarians and younger patients. A subgroup undergoing cholecystectomy for acute cholecystitis (n = 146, 43.3 %) was further analyzed. The octogenarian group included 34 patients (10.1 %), while the younger patient group included 303 patients (89.9 %). The octogenarian group was associated with higher rates of comorbidities and acute cholecystitis. The octogenarian group had significantly low laparoscopic completed rates, high postoperative complication rates, and longer postoperative hospital stays. Among the acute cholecystitis group, 24 patients (16.4 %) were octogenarians and 122 patients (83.6 %) were younger patients. No significant difference was found in the morbidity and postoperative hospital stay between the two groups. Only one patient (0.3 %), an octogenarian, died of pneumonia. Cholecystectomy for symptomatic gallstone or acute cholecystitis can be safely performed even in octogenarians. However, care should be taken because they have comorbidities and limited functional reserves.
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