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KMID : 0978920130140020071
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Korean Journal of Clinical Geriatrics
2013 Volume.14 No. 2 p.71 ~ p.76
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Clinical Outcome of Laparoscopic Cholecystectomy in Elderly Patients Over 60
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Lee Angels Soeun
Jung Yong-Hwan
Hwang Yong-Hee
Lee Eun-Heon
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Abstract
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Background: The aim was to evaluate the outcome of the clinical progress of patients 60 or older those who underwent laparoscopic cholecystectomy (LC) and determine the advantages of LC in elderly patients.
Methods: Elderly patients age of 60 or over between Jan, 2005 to Jan 2012, were retrospectively analyzed. Patients were evaluated according to clinical progress such as symptoms, pre-operative diagnosis, underlying disease, previous abdominal operation history, conversion to open cholecystectomy (OC), complications and pathology.
Results: One hundred seventy nine LC were performed, mean age of 69.6±6.7 (60∼88) years old, 84 male, 95 female showed a ratio of 1：1.13. Most common pre-operative diagnosis was 129 (72.1%) cases of gallbladder calculus. Most common underlying disease was hypertension found in 79 (44.1%) cases. Previous abdominal surgery of 33 (18.4%) cases included 12 appendectomy, 12 myomectomy, 2 gastric ulcer perforation. Operative time varied 35 to 250 minutes and operative time-mean was 68.6±27.1 minutes. Conversion to OC had to be done in 17 (9.5%) patients. Post-operative hospital stay varied 3 to 59 days; 36 (20.1%) cases stayed 5 days, mean of 7.4±4.7 days. Complications were found in 14 (7.8%). Most common post-operative pathological diagnosis was 160 (89.3%) cases of chronic cholecystitis, followed by 11 (6.1%) cases of acute cholecystitis.
Conclusion: Though elderly patients show higher possibility of combined underlying diseases and acute cholecystitis, laparoscopic cholecystectomy could be done safely and should be considered first for shorter hospital days and less post-operative complication.
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KEYWORD
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Laparoscopic cholecystectomy, Elderly patient
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