Outcome after Cholecystectomy in the Elderly.

Anne E. van Heesewijk,Rosa G. M. Lammerts,Jan-Willem Haveman,Mark Meerdink,Barbara L. van Leeuwen,Robert A. Pol

The American Journal of Surgery（2018）SCI 3区

Univ Groningen | Univ Med Ctr Groningen

Cited 11|Views14

Abstract

Background: Cholecystectomy is considered the standard treatment for acute cholecystitis and symptomatic gallstones. An increasing number of frail elderly patients are being referred for this surgical treatment. A better understanding of surgical outcome in the elderly is needed to improve quality of care. Methods: A retrospective analysis of 565 patients who underwent cholecystectomy was performed. Focus of the analyses was on postoperative complications and its predictors. Results: The study population was divided in two cohorts; aged < 70. More complications were found in patients aged >= 70 years. More elderly patients were admitted to the intensive care, respectively 4.0% and 14.1% (P = 0.045). Hospital mortality was 6% in patients aged >= 70 years vs 0.6% in patients < 70. Conclusion: In elderly patients, the complication and mortality rate following cholecystectomy is higher than previously reported. For high-risk patients aged >= 70 with cholecystitis, alternative therapies should be considered as a bridge to surgery or definite treatment. (C) 2018 Published by Elsevier Inc.

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Key words

Cholecystitis,Complications,Gall stone disease

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