Original Articles
Evaluation of Outcomes of Laparoscopic Cholecystectomy in the Elderly Population: An Institutional Based Study | |
Y Karthik, K. Pavan Kumar, Hallad Sharanabasappa Girimallappa, P. Shiva Kumar | |
Background: The present study was conducted for assessing outcomes of laparoscopic cholecystectomy in the elderly. Materials & Methods: A total of 100 patients who were scheduled to undergo laparoscopic cholecystectomy. Patients were divided into two groups based on age: elderly (≥60 years, n = 50) and young (<60 years, n = 50). Complete demographic and clinical details of all the patients were obtained. All patients were evaluated with abdominal ultrasonography and baseline investigations required for surgery. The timing of laparoscopic cholecystectomy in patients presenting with acute phase was after the resolution of symptoms. Laparoscopic cholecystectomy was performed by the standard four-port technique. Perioperative data including conversion rate was recorded. Outcome was compared. Results: Mean operative time among elderly and young patients was 53.6 minutes and 51.2 minutes respectively. Conversion to open cholecystectomy was done in 3 patients of elderly group and 4 patients of young group. Non-significant results were obtained while comparing complications, time to resume normal diet and length of hospital stay among elderly patients and young patients. Conclusion:Elderly individuals (60 years of age or more) who undergo laparoscopic cholecystectomy had similar outcomes to younger people. Thus, even in the elderly, laparoscopic cholecystectomy is safe. |
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