Elective and emergency laparoscopic cholecystectomy in the elderly: our experience.

Alessia G Ferrarese,Silvia Marola,Alessandro Falcone,Silvia Catalano,Mario Solej,Giada Pozzi,Stefano Enrico,Valter Martino

doi:10.1186/1471-2482-13-s2-s21

Alessia G Ferrarese, Silvia Marola + Show 6 more

Open Access

https://doi.org/10.1186/1471-2482-13-s2-s21

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Journal: BMC surgery	Publication Date: Jan 1, 2013
Citations: 57	License type: cc-by

Affiliation: Ospedale San Luigi Gonzaga, University of Turin

Abstract

BackgroundWe aimed to analyze outcomes of early and delayed laparoscopic cholecystectomy in the elderly in our General Surgery Division.MethodsWe analyzed 114 LC performed from the 1st of January 2008 to the 31st of December 2012 in our General Surgery division: 67 LC were performed for gallbladder stones and 47 for acute cholecystitis.Results and discussionComparison between Ordinary and Emergency groups showed that drain placement and post-operative hospital stay were significatively different. There were no significative differences between Early Laparoscopic Emergency Cholecystectomy (E-ELC) and Delayed Laparoscopic Emergency Cholecystectomy (D-ELC). There weren't any differences about Team's evaluation.ConclusionWe consider LC a safe and effective treatment for cholelitiasis and acute cholecystitis in Ordinary and Emergency setting, also in the elderly. We also demonstrate that, in our experience, LC for AC is feasible as well.

Highlights

We aimed to analyze outcomes of early and delayed laparoscopic cholecystectomy in the elderly in our General Surgery Division
From the 1st of January 2008 to the 31st of December 2012, 114 Laparoscopic cholecystectomy (LC) were performed at the University Section of General Surgery in elderly patients (Age > 65 yrs): 67 for gallbladder stones and 47 for acute cholecystitis
Statistical proportions related to the analyzed dichotomic variables, for both Emergency Cholecystectomy (E-ELC) and Delayed Laparoscopic Emergency Cholecystectomy (D-ELC) were compared using Chi-square test and Fisher’s exact test

Summary

Introduction

We aimed to analyze outcomes of early and delayed laparoscopic cholecystectomy in the elderly in our General Surgery Division. Laparoscopic cholecystectomy (LC) represents the gold standard treatment for cholelithiasis. Its application gradually extended to acute cholecystitis (AC) in the elderly. We aimed to compare outcomes of the University Section of General Surgery in “San Luigi Gonzaga” Hospital of Orbassano (Turin) with literature, evaluating timing and technique of early or delayed laparoscopic cholecystectomy in the management of acute cholecystitis in elderly patients

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Conclusion