The researchers determined the feasibility and efficacy of laparoscopic cholecystectomy for acute cholecystitis in elderly patients.
The results were compared to those who underwent open cholecystectomy, and the findings were reported in August's Surgical Laparoscopy Endoscopy and Percutaneous Techniques.
From January 1992 to December 1999, 139 patients older than 75 years of age underwent cholecystectomy for acute cholecystitis.
The two groups of patients with cholecystolithiasis included 50 patients who underwent laparoscopic cholecystectomy (Group 1) and 89 patients who underwent open cholecystectomy (Group 2).
| Laparoscopic cholecystectomy is safe and effective in elderly patients.
| Surgical Laparoscopy Endoscopy & Percutaneous Techniques |
Group 1 consisted of 30 women and 20 men, with a mean age of 82 years. Group 2 consisted of 51 women and 38 men, with a mean age of 82 years.
The length of the surgery (103 vs 150 minutes), postoperative length of stay (7.7 vs 12.7 days), and inpatient rehabilitation (15 vs 42 patients) were found to be significantly shorter in Group 1 than in Group 2.
The postoperative morbidity rate was not different between the groups.
There was no mortality in Group 1, but 4 patients died in Group 2.
The conversion rate was found to be 32% (n = 16) in Group 1.
Dr Patrick Pessaux, of Centre Hospitalier Universitaire d'Angers, said on behalf of the group, "Laparoscopic cholecystectomy in elderly patients with acute cholecystitis is safe and effective.
"Laparoscopic cholecystectomy in elderly patients restores them to the best possible quality of life with the lowest cost to them physiologically," he concluded.