caa a22 4500 475781856 CHVBK 20180406123646.0 cr unu---uuuuu 170329e20001101xx s 000 0 eng 10.1007/s004640010075 doi (NATIONALLICENCE)springer-10.1007/s004640010075 Laparoscopic cholecystectomy in the elderly [Elektronische Daten] A prospective study [P. Pessaux, J.-J. Tuech, N. Derouet, C. Rouge, N. Regenet, J.-P. Arnaud] Background: The aim of this prospective study was to determine the feasability and the complications or benefits of laparoscopic cholecystectomy (LC) in the patients older than 75 years. Methods: From January 1992 to July 1998, a total of 863 patients underwent LC, of these patients, 102 patients older than 75 years (group 1) were compared with 761 younger patients (group 2). Results: In the elderly, 35.3% were at high surgical risk (American Society of Anesthesiology [ASA] III and ASA IV). The conversion rate to open cholecystectomy (OC) was 21.6%. The mean length of hospital stay was 6.9 days for both laparoscopy and conversion. Morbidity and mortality rates were 13.7% and 1%, respectively. No patient suffered intraoperative cardiopulmonary complication, and there was no reoperation in the elderly. Conclusions: Elderly patients experience more complications and longer duration of hospital stay than younger patients. However, our results compare favorably with other OC studies in elderly patients. Springer-Verlag New York Inc., 2000 Key words: Elderly — High-risk patients — Laparoscopic cholecystectomy nationallicence Pessaux P. Department of visceral surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut Tuech J.-J Department of visceral surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut Derouet N. Department of visceral surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut Rouge C. Department of visceral surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut Regenet N. Department of visceral surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut Arnaud J.-P Department of visceral surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut https://doi.org/10.1007/s004640010075 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640010075 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Pessaux P. Department of visceral surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut NATIONALLICENCE 700 1- Tuech J.-J Department of visceral surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut NATIONALLICENCE 700 1- Derouet N. Department of visceral surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut NATIONALLICENCE 700 1- Rouge C. Department of visceral surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut NATIONALLICENCE 700 1- Regenet N. Department of visceral surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut NATIONALLICENCE 700 1- Arnaud J.-P Department of visceral surgery, Chu-Angers, 4 Rue Larrey, 49033 Angers Cedex 01, France, FR aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer