ArticleThe Permanente journal2017
Are They Too Old for Surgery? Safety of Cholecystectomy in Superelderly Patients (≥ Age 90).
Article in The Permanente journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- EAES/SAGES evidence-based recommendations and expert consensus on optimization of perioperative care in older adults.Surgical endoscopy · 2024Guideline
- Perioperative outcomes after laparoscopic cholecystectomy in elderly patients: a systematic review and meta-analysis.Surgical endoscopy · 2020Pooled it
- Review
- Safety of Cholecystectomy in Nonagenarians: A Systematic Review and Meta-Analysis.Geriatrics (Basel, Switzerland) · 2026Review
- Predicting the timing of LC after PTGBD in elderly patients with acute cholecystitis: a machine learning approach with a web-based calculator.Langenbeck's archives of surgery · 2025Article
- Operating on the Oldest-Old: Vaginal Prolapse Surgery Outcomes in Women Over 90.Urogynecology (Philadelphia, Pa.) · 2025Article
- Trends in Orthopaedic Surgery on Patients 90 Years Old and Older 2014-2023.The archives of bone and joint surgery · 2025Article
- Comparison of ERCP Outcomes and Complication Risk between Elderly and Younger Patients: A Large Single-Center Study.Journal of clinical medicine · 2024Article
- Elective Surgery Trends and Outcomes of Nonagenarians and Centenarians in Otolaryngology-Head and Neck Surgery: A NSQIP Study.The Laryngoscope · 2024Article
- Mortality burden from variation in provision of surgical care in emergency general surgery: a cohort study using the National Inpatient Sample.Trauma surgery & acute care open · 2024Article
- Review
- Safe and feasible outcomes of cholecystectomy in extremely elderly patients (octogenarians vs. nonagenarians).Journal of minimally invasive surgery · 2021Article
- Effective Treatment of Upper Urinary Tract Malignancies Using Laparoscopic Surgery in Three Nonagenarians in Poor General Condition: Are They Too Old for Surgery?Journal of endourology case reports · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextCholecystectomy is the most common general surgery procedure in patients older than age 65 years. By 2050, it is estimated that 2.0% of the population will be older than age 90 years.
objectiveTo assess the mortality of cholecystectomy in superelderly patients (≥ age 90 years).
designUsing the American College of Surgeons National Surgical Quality Improvement Program database, a retrospective analysis was performed of superelderly patients who underwent laparoscopic and open cholecystectomy between 2005 and 2012.
main outcome measuresThirty-day mortality.
resultsA total of 1007 cholecystectomies were performed in superelderly patients between 2005 and 2012. Of these surgical procedures, 807 (80%) were nonemergent and 200 (20%) were performed emergently. Two hundred sixteen procedures (21.4%) were open and 791 (78.6%) were laparoscopic. Mortality did not decrease significantly during the study period. The overall mortality was 5.5%, significantly less for the laparoscopic group (3.7% vs 12%, p < 0.001) and for the nonemergent group (4.5% vs 9.5%, p < 0.005). The median length of stay for open cholecystectomy was 9 days compared with 5 days for laparoscopic (p < 0.001); for nonemergent cholecystectomy it was 5 days compared with 7 days for emergent cholecystectomy (p < 0.001).
conclusionThe mortality after cholecystectomy in superelderly patients did not change significantly during the study period. The mortality and morbidity for laparoscopic and elective procedures were significantly lower than for open procedures and for emergent procedures, respectively.
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