| Peer-Reviewed

Surgical Treatment of Acute Cholecystitis in Patients over 80 Years: 10-Year Experience

Received: 23 January 2022     Accepted: 13 February 2022     Published: 25 February 2022
Views:       Downloads:
Abstract

The prevalence of gallstones ranges from 20% to 30% in patients ≥ 60 years of age whereas it is higher in individuals ≥ 90 years of age. Elderly patients with gallstones tend to develop more complications such as gallbladder hydrops, empyema or perforation. Although perioperative morbidity and mortality is slightly high in elderly patients with acute cholecystitis, cholecystectomy is successfully performed for acute cholecystitis with regard to improvement in patients care. In this study, we aimed to evaluate the results of patients over 80 years of age who had cholecystectomy. The data of the 196 patients over 80 years of age who underwent cholecystectomy for acute cholecystitits between Jan 2011and August 2020 were retrospectively reviewed. The age of the patients in this study ranged from 80 to 97 years. The number of female patients was 111 and male patients was 85. 109 patients underwent laparoscopic cholecystectomy and 77 patients underwent open cholecystectomy. 10 patients converted from laparoscopic to open surgery. One patient who underwent open cholecystectomy died. We observed more wound infection in open cholecystectomy group. Laparoscopic cholecystectomy patients were discharged earlier. Age is not a contraindication for cholecystectomy in patients with acute cholecystitits. Cholecystectomy is a safe procedure in elderly patients with accepted morbidity.

Published in Journal of Surgery (Volume 10, Issue 1)
DOI 10.11648/j.js.20221001.18
Page(s) 40-43
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Acute Cholecystitis, Elderly, Laparoscopic Cholecystectomy

References
[1] Lirussi, F., Nassuato, G., Passera, D., Toso, S., Zalunardo, B., Monica, F. et al. (1999). Gallstone disease in an elderly population: the Silea study. Eur J Gastroenterol Hepatol, 11 (5): 485-491.
[2] Festi, D., Dormi, A., Capodicasa, S., Staniscia, T., Attili, AF., Loria, P. et al. (2008). Incidence of gallstone disease in Italy: results from a multicenter, population-based Italian study (the MICOL project). World J Gastroenterol, 14 (34): 5282-5289.
[3] Miura, F., Takada, T., Strasberg, SM., Solomkin, JS., Pitt, HA., Gouma, DJ. et al. (2013). TG13 flowchart for the management of acute cholangitis and cholecystitis. J Hepatobiliary Pancreat Sci, 20 (1): 47-54.
[4] Overby, DW., Apelgren, KN., Richardson, W., Fanelli, R. (2010). SAGES guidelines for the clinical application of laparoscopic biliary tract surgery. Surg Endosc, 24 (10): 2368-2386.
[5] Wiggins, T., Markar, SR., Mackenzie, H., Jamel, S., Askari, A., Faiz, O. et al. (2018). Evolution in the management of acute cholecystitis in the elderly: population-based cohort study. Surg Endosc, 32 (10): 4078-4086.
[6] Ambe, PC., Weber, SA., Christ, H., Wassenberg, D. (2015). Primary cholecystectomy is feasible in elderly patients with acute cholecystitis. Aging Clin Exp Res, 27 (6): 921-926.
[7] Kim, HO., Yun, JW., Shin, JH., Hwang, SI., Cho, YK., Son, BH. et al. (2009). Outcome of laparoscopic cholecystectomy is not influenced by chronological age in the elderly. World J Gastroenterol, 15 (6): 722-726.
[8] Nielsen, LB., Harboe, KM., Bardram, L. (2014). Cholecystectomy for the elderly. No hesitation for otherwise healthy patients. Surg Endosc, 28 (1): 171-177.
[9] Bueno, LJ., Vaqué, UJ., Herrero, BC., Castillo, GE., Carbonell, TF., Baquero, VR. et al. (2007). [Acute cholecystitis and laparoscopic cholecystectomy in the elderly]. Cir Esp, 81 (4): 213-217.
[10] Laycock, WS., Siewers, AE., Birkmeyer, CM., Wennberg, DE., Birkmeyer, JD. (2000). Variation in the use of laparoscopic cholecystectomy for elderly patients with acute cholecystitis. Arch Surg, 135 (4): 457-462.
[11] Rosa, F., Covino, M., Cozza, V., Fransvea, P., Quero, G., Fiorillo, C. et al. (2021). Management of acute cholecystitis in elderly patients: A propensity score-matched analysis of surgical vs. medical treatment. Dig Liver Dis, 53 (12): 1620-1626.
[12] Agrusa, A., Romano, G., Frazzetta, G., Chianetta, D., Sorce, V., Di Buono, G. et al. (2014). Role and outcomes of laparoscopic cholecystectomy in the elderly. Int J Surg, 12 Suppl 2: S37-s39.
[13] Serban, D., Socea, B., Balasescu, SA., Badiu, CD., Tudor, C., Dascalu, AM. et al. (2021). Safety of Laparoscopic Cholecystectomy for Acute Cholecystitis in the Elderly: A Multivariate Analysis of Risk Factors for Intra and Postoperative Complications. Medicina (Kaunas), 57 (3).
[14] Pisano, M., Allievi, N., Gurusamy, K., Borzellino, G., Cimbanassi, S., Boerna, D. et al. (2020). World Society of Emergency Surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis. World J Emerg Surg, 15 (1): 61.
[15] Loozen, CS., Van Ramshorst, B., Van Santvoort, HC., Boerma. D. (2017). Early Cholecystectomy for Acute Cholecystitis in the Elderly Population: A Systematic Review and Meta-Analysis. Dig Surg, 34 (5): 371-379.
[16] Yokota, Y., Tomimaru, Y., Noguchi, K., Noda, T., Hatano, H., Nagase, H. et al. (2019). Surgical outcomes of laparoscopic cholecystectomy for acute cholecystitis in elderly patients. Asian J Endosc Surg, 12 (2): 157-161.
[17] Jensen, KK., Roth, NO., Krarup, PM., Bardram, L. (2019). Surgical management of acute cholecystitis in a nationwide Danish cohort. Langenbecks Arch Surg, 404 (5): 589-597.
[18] Fukami, Y., Kurumiya, Y., Mizuno, K., Sekoguchi, E., Kobayashi, S. (2014). Cholecystectomy in octogenarians: be careful. Updates Surg, 66 (4): 265-268.
[19] Bhandari, TR., Shahi, S., Bhandari, R., Poudel, R. (2017). Laparoscopic Cholecystectomy in the Elderly: An Experience at a Tertiary Care Hospital in Western Nepal. Surg Res Pract, 2017: 8204578.
Cite This Article
  • APA Style

    Kadir Yildirim, Ilhan Karabicak, Mahmut Fikret Gursel, Zafer Malazgirt. (2022). Surgical Treatment of Acute Cholecystitis in Patients over 80 Years: 10-Year Experience. Journal of Surgery, 10(1), 40-43. https://doi.org/10.11648/j.js.20221001.18

    Copy | Download

    ACS Style

    Kadir Yildirim; Ilhan Karabicak; Mahmut Fikret Gursel; Zafer Malazgirt. Surgical Treatment of Acute Cholecystitis in Patients over 80 Years: 10-Year Experience. J. Surg. 2022, 10(1), 40-43. doi: 10.11648/j.js.20221001.18

    Copy | Download

    AMA Style

    Kadir Yildirim, Ilhan Karabicak, Mahmut Fikret Gursel, Zafer Malazgirt. Surgical Treatment of Acute Cholecystitis in Patients over 80 Years: 10-Year Experience. J Surg. 2022;10(1):40-43. doi: 10.11648/j.js.20221001.18

    Copy | Download

  • @article{10.11648/j.js.20221001.18,
      author = {Kadir Yildirim and Ilhan Karabicak and Mahmut Fikret Gursel and Zafer Malazgirt},
      title = {Surgical Treatment of Acute Cholecystitis in Patients over 80 Years: 10-Year Experience},
      journal = {Journal of Surgery},
      volume = {10},
      number = {1},
      pages = {40-43},
      doi = {10.11648/j.js.20221001.18},
      url = {https://doi.org/10.11648/j.js.20221001.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20221001.18},
      abstract = {The prevalence of gallstones ranges from 20% to 30% in patients ≥ 60 years of age whereas it is higher in individuals ≥ 90 years of age. Elderly patients with gallstones tend to develop more complications such as gallbladder hydrops, empyema or perforation. Although perioperative morbidity and mortality is slightly high in elderly patients with acute cholecystitis, cholecystectomy is successfully performed for acute cholecystitis with regard to improvement in patients care. In this study, we aimed to evaluate the results of patients over 80 years of age who had cholecystectomy. The data of the 196 patients over 80 years of age who underwent cholecystectomy for acute cholecystitits between Jan 2011and August 2020 were retrospectively reviewed. The age of the patients in this study ranged from 80 to 97 years. The number of female patients was 111 and male patients was 85. 109 patients underwent laparoscopic cholecystectomy and 77 patients underwent open cholecystectomy. 10 patients converted from laparoscopic to open surgery. One patient who underwent open cholecystectomy died. We observed more wound infection in open cholecystectomy group. Laparoscopic cholecystectomy patients were discharged earlier. Age is not a contraindication for cholecystectomy in patients with acute cholecystitits. Cholecystectomy is a safe procedure in elderly patients with accepted morbidity.},
     year = {2022}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Surgical Treatment of Acute Cholecystitis in Patients over 80 Years: 10-Year Experience
    AU  - Kadir Yildirim
    AU  - Ilhan Karabicak
    AU  - Mahmut Fikret Gursel
    AU  - Zafer Malazgirt
    Y1  - 2022/02/25
    PY  - 2022
    N1  - https://doi.org/10.11648/j.js.20221001.18
    DO  - 10.11648/j.js.20221001.18
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 40
    EP  - 43
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20221001.18
    AB  - The prevalence of gallstones ranges from 20% to 30% in patients ≥ 60 years of age whereas it is higher in individuals ≥ 90 years of age. Elderly patients with gallstones tend to develop more complications such as gallbladder hydrops, empyema or perforation. Although perioperative morbidity and mortality is slightly high in elderly patients with acute cholecystitis, cholecystectomy is successfully performed for acute cholecystitis with regard to improvement in patients care. In this study, we aimed to evaluate the results of patients over 80 years of age who had cholecystectomy. The data of the 196 patients over 80 years of age who underwent cholecystectomy for acute cholecystitits between Jan 2011and August 2020 were retrospectively reviewed. The age of the patients in this study ranged from 80 to 97 years. The number of female patients was 111 and male patients was 85. 109 patients underwent laparoscopic cholecystectomy and 77 patients underwent open cholecystectomy. 10 patients converted from laparoscopic to open surgery. One patient who underwent open cholecystectomy died. We observed more wound infection in open cholecystectomy group. Laparoscopic cholecystectomy patients were discharged earlier. Age is not a contraindication for cholecystectomy in patients with acute cholecystitits. Cholecystectomy is a safe procedure in elderly patients with accepted morbidity.
    VL  - 10
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Department of General Surgery, Medical Park Hospital, Samsun, Turkey

  • Department of General Surgery, Medical Park Hospital, Samsun, Turkey

  • Department of General Surgery, Medical Park Hospital, Samsun, Turkey

  • Department of General Surgery, Medical Park Hospital, Samsun, Turkey

  • Sections