Abstract
Summary Background Cholelithiasis is one of the most common surgical diseases associated with aging. Although laparoscopic cholecystectomy (LC) is the best treatment modality for the symptomatic cholelithiasis, its safety in geriatric population is still controversial. The aim was to evaluate the outcomes of LC in geriatric patients, in comparison to youngers. Methods A total of 1298 patients who underwent elective or emergent LC for gallbladder stone were included in this study. Patients were divided into two main groups: Group 1 (18–64 years old) and Group 2 (≥65 years old). The outcomes of LC between the age groups was compared with each other. Results There were 1027 (79.1%) patients in Group 1 and 271 patients (20.9%) in Group 2. Older age group had higher Charlson comorbidity index (CCI) score (p Conclusion This study showed that LC can be safely performed in elderly patients, without any significant increase in perioperative morbidity. Presence of acute cholecystitis is the main factor of conversion in all ages. Therefore, surgeons should be more careful in such patients.
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