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

Kadir Yildirim; Ilhan Karabicak; Mahmut Fikret Gursel; Zafer Malazgirt

doi:doi:10.11648/j.js.20221001.18

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

Kadir Yildirim, Ilhan Karabicak, Mahmut Fikret Gursel, Zafer Malazgirt

Published in Journal of Surgery (Volume 10, Issue 1)

Received: 23 January 2022 Accepted: 13 February 2022 Published: 25 February 2022

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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

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[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.
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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

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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

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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

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@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}
}

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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 -

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Author Information

Kadir Yildirim

Department of General Surgery, Medical Park Hospital, Samsun, Turkey
Ilhan Karabicak

Department of General Surgery, Medical Park Hospital, Samsun, Turkey
Mahmut Fikret Gursel

Department of General Surgery, Medical Park Hospital, Samsun, Turkey
Zafer Malazgirt

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

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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

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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

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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

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@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}
}

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