Bhandari Tika Ram, Shahi Sudha, Bhandari Rajeev, Poudel Rajesh
Department of General Surgery, Universal College of Medical Sciences, Bhairahawa 32900, Nepal.
Department of ENT, National Academy of Medical Sciences, Kathmandu 44600, Nepal.
Surg Res Pract. 2017;2017:8204578. doi: 10.1155/2017/8204578. Epub 2017 May 10.
The incidence of gallstone increases with increasing age. No studies have been reported in the elderly population with laparoscopic cholecystectomy from developing nations. The aim of this study was to compare perioperative outcomes of laparoscopic cholecystectomy between the elderly (≥60 years old) and the young (<60 years old).
From July 2015 to June 2016, a retrospective review of medical records of 78 elderly patients (≥60 years old) and 164 young patients (<60 years old) who underwent laparoscopic cholecystectomy was done. The patients' demographics and perioperative outcomes were analyzed.
Median ages were 65 years (range: 60-80) and 45 years (range: 21-59) for the elderly group and the young group. The majority of patients were female (62.8 and 72%). There were no significant differences in the conversion rate (9 and 7.9%, = 0.78), postoperative complications (17.9 and 14.6%, = 0.50), and length of stay in the hospital (4 days for both groups, = 0.35) between the two groups. There was no mortality in either of the groups.
Our results of laparoscopic cholecystectomy in elderly patients are comparable with those in young patients. Therefore, laparoscopic cholecystectomy is safe even in the elderly population.
胆结石的发病率随年龄增长而增加。在发展中国家，尚未有关于老年人群行腹腔镜胆囊切除术的研究报道。本研究的目的是比较老年患者（≥60岁）和年轻患者（<60岁）行腹腔镜胆囊切除术后的围手术期结果。
对2015年7月至2016年6月期间行腹腔镜胆囊切除术的78例老年患者（≥60岁）和164例年轻患者（<60岁）的病历进行回顾性分析。分析患者的人口统计学资料和围手术期结果。
老年组和年轻组的中位年龄分别为65岁（范围：60 - 80岁）和45岁（范围：21 - 59岁）。大多数患者为女性（分别为62.8%和72%）。两组之间的中转率（9%和7.9%，P = 0.78）、术后并发症发生率（17.9%和14.6%，P = 0.50）以及住院时间（两组均为4天，P = 0.35）均无显著差异。两组均无死亡病例。
我们的研究结果表明，老年患者行腹腔镜胆囊切除术的结果与年轻患者相当。因此，即使在老年人群中，腹腔镜胆囊切除术也是安全的。
