Comparative Analysis of Laparoscopic Cholecystectomy Performed in the Elderly and Younger Patients: Should We Abstain from Laparoscopic Cholecystectomy in the Elderly?

Ekici, Uğur; Yılmaz, Serhan; Tatlı, Faik

Comparative Analysis of Laparoscopic Cholecystectomy Performed in the Elderly and Younger Patients: Should We Abstain from Laparoscopic Cholecystectomy in the Elderly?

dc.authorid	https://orcid.org/0000-0002-2660-3120	en_US
dc.contributor.author	Ekici, Uğur
dc.contributor.author	Yılmaz, Serhan
dc.contributor.author	Tatlı, Faik
dc.date.accessioned	2024-03-19T23:29:29Z
dc.date.available	2024-03-19T23:29:29Z
dc.date.issued	2018	en_US
dc.department	Sağlık Bilimleri Fakültesi	en_US
dc.description.abstract	Background: The elderly population is gradually increasing due to an increase in the quality of life and therefore the frequency of gallbladder stones in the population is also increasing. However, a considerable number of physicians tend to postpone or solve the problem with medical treatment instead of performing surgery in the elderly patients. In this study, we aim to compare the outcomes of laparoscopic cholecystectomy (LC) in the elderly and younger patients. Material and Methods: The medical records of 665 patients undergoing LC were evaluated retrospectively. The patients were divided into two groups: ?60 years of age and <60 years of age. Ages, genders, comorbid diseases, indications of surgery, American Society of Anesthesiologists scores, whether it is converted to an open cholecystectomy or not, reasons for conversion if it is converted, total duration of surgery, initiation of oral nutrition, duration of discharge, and postoperative complications of the patients in both groups were recorded. Results: The American Society of Anesthesiologists scores were statistically significantly higher in ?60 years age group (p<0.001). The rate of experiencing acute cholecystitis with a stone in the gallbladder was significantly higher in the 60 years group (p=0.025). Comorbidity was statistically significantly higher in the ?60 years age group (p<0.001). Hospitalization period, the mean hour of initiation of oral nutrition were statistically significantly higher in the ?60 years age group (p<0.001, p=0.001). Conversion to an open cholecystectomy and postoperative complication rates of the ?60 years age group were statistically significantly higher (p=0.034, p<0.001). Conclusion: We think that LC can be safely performed in the elderly people as well. However, it should be kept in mind that comorbidity may make the surgery and postoperative follow-up period complicated.	en_US
dc.identifier.doi	10.7759/cureus.2888	en_US
dc.identifier.endpage	6	en_US
dc.identifier.issn	2168-8184
dc.identifier.issue	6	en_US
dc.identifier.pmid	30159214	en_US
dc.identifier.startpage	1	en_US
dc.identifier.uri	https://hdl.handle.net/11363/7232
dc.identifier.uri	https://doi.org/
dc.identifier.volume	10	en_US
dc.identifier.wos	WOS:000450941500162	en_US
dc.identifier.wosquality	N/A	en_US
dc.indekslendigikaynak	Web of Science	en_US
dc.indekslendigikaynak	PubMed	en_US
dc.institutionauthor	Ekici, Uğur
dc.language.iso	en	en_US
dc.publisher	CUREUS INC, PO BOX 61002, PALO ALTO, CA 94306	en_US
dc.relation.ispartof	CUREUS JOURNAL OF MEDICAL SCIENCE	en_US
dc.relation.publicationcategory	Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı	en_US
dc.rights	info:eu-repo/semantics/openAccess	en_US
dc.subject	laparoscopic cholecystectomy	en_US
dc.subject	cholelithiazis	en_US
dc.subject	senility	en_US
dc.subject	complication	en_US
dc.subject	mortality	en_US
dc.subject	morbidity	en_US
dc.subject	gall bladder	en_US
dc.subject	conversion to open	en_US
dc.title	Comparative Analysis of Laparoscopic Cholecystectomy Performed in the Elderly and Younger Patients: Should We Abstain from Laparoscopic Cholecystectomy in the Elderly?	en_US
dc.type	Article	en_US