ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Laparoscopic Cholecystectomy versus Percutaneous Drainage for Acute Cholecystitis in Elderly.
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. Not yet cited in PubMed.
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Abstract
Background: There is ongoing debate regarding the best management strategy for acute calculous cholecystitis (ACC) in the oldest old population. The present study sought to evaluate clinical outcomes following laparoscopic cholecystectomy (LC) versus percutaneous transhepatic gallbladder drainage (PTGD) in elderly individuals diagnosed with ACC. Methods: This retrospective study included 135 elderly ACC patients (mean age >80 years) treated from January 2023 to December 2024. Of these, 68 underwent LC and 67 received PTGD. Between-group comparisons covered baseline profiles, a primary composite outcome (all-cause death or major complications at 1 year), secondary endpoints, and healthcare resource use. Results: The two groups were largely comparable at baseline, except that gallbladder wall thickness (median 4.0 vs 3.0 mm, Conclusion: For elderly ACC patients, LC offers significant advantages over PTGD in terms of major complications, reinterventions, recurrent biliary disease, and hospitalization duration. Thus, LC ought to be the favored approach for elderly individuals who are surgical candidates.
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