Laparoscopic Cholecystectomy in the Elderly

  • Nakajima Jun
    Department of Surgery, Iwate Medical University School of Medicine
  • Sasaki Akira
    Department of Surgery, Iwate Medical University School of Medicine
  • Obuchi Toru
    Department of Surgery, Iwate Medical University School of Medicine
  • Baba Shigeaki
    Department of Surgery, Iwate Medical University School of Medicine
  • Takahara Takeshi
    Department of Surgery, Iwate Medical University School of Medicine
  • Nitta Hiroyuki
    Department of Surgery, Iwate Medical University School of Medicine
  • Ikeda Kenichiro
    Department of Surgery, Iwate Medical University School of Medicine
  • Wakabayashi Go
    Department of Surgery, Iwate Medical University School of Medicine

Bibliographic Information

Other Title
  • 高齢者に対する腹腔鏡下胆嚢摘出術の検討

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Abstract

This study aimed to evaluate the usefulness and safety of laparoscopic cholecystectomy (LC) for benign gallbladder disease in elderly patients. Between March 1992 and December 2008, 1257 patients who underwent LC were included in the study. They were divided into two groups: those under age 65, and those aged 65 and older. The incidence of underlying disease and gallbladder inflammation was higher in elderly than in younger patients. The mean operating time was significantly longer, and blood loss was significantly higher in elderly than in younger patients. No significant differences were observed between the two groups' incidence of postoperative morbidities or length of hospital stay. These findings suggest that LC can be performed safely as a minimally invasive procedure in elderly patients, although it requires both careful selection of patients and appropriate surgical techniques.<br>

Journal

  • Tando

    Tando 23 (5), 756-761, 2009

    Japan Biliary Association

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