Primary cholecystectomy is feasible in elderly patients with acute cholecystitis

Background While early cholecystectomy is generally accepted as the standard procedure for young and fit patients with acute cholecystitis, controversy exits on the management of elderly and severely sick patients. We postulated that primary cholecystectomy is feasible in this subgroup. The aim of t...

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Bibliographic Details
Published in:Aging clinical and experimental research 2015-12, Vol.27 (6), p.921-926
Main Authors: Ambe, Peter C., Weber, Sebastian A., Christ, Hildegard, Wassenberg, Dirk
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Cholecystectomy
Cholecystectomy - adverse effects
Cholecystectomy - methods
Cholecystectomy - statistics & numerical data
Cholecystitis, Acute - epidemiology
Cholecystitis, Acute - surgery
Female
Gallbladder diseases
Geriatrics/Gerontology
Germany - epidemiology
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Patient Outcome Assessment
Patient Selection
Patients
Postoperative Complications - diagnosis
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Retrospective Studies
Risk Adjustment
Surgery
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Summary:Background While early cholecystectomy is generally accepted as the standard procedure for young and fit patients with acute cholecystitis, controversy exits on the management of elderly and severely sick patients. We postulated that primary cholecystectomy is feasible in this subgroup. The aim of this study was to compare the outcomes of young and fit patients to those of elderly patients undergoing surgery for acute cholecystitis. Methods The outcomes of elderly patients (≥70 years) undergoing surgery for acute cholecystitis in a primary care center in Germany were retrospectively compared to those of younger patients (
ISSN:1720-8319
1594-0667
1720-8319
DOI:10.1007/s40520-015-0361-0