caa a22 4500 47703599X CHVBK 20180405111305.0 cr unu---uuuuu 170330e19961001xx s 000 0 eng 10.1007/s002689900148 doi (NATIONALLICENCE)springer-10.1007/s002689900148 Laparoscopic Cholecystectomy for Acute Cholecystitis in the Elderly [Elektronische Daten] [Chung-Mau Lo, Edward C.S. Lai, Sheung-Tat Fan, Chi-Leung Liu, John Wong] Abstract. This study reviewed the results of laparoscopic cholecystectomy for acute cholecystitis in the elderly. Among 557 patients who underwent laparoscopic cholecystectomy, 70 (12.6%) had a clinical diagnosis of acute cholecystitis confirmed by ultrasonography. There were 28 men and 42 women with a mean age of 59.9 years (range 20-87 years). Thirty patients ≥ 65 years of age were compared to 40 patients < 65 years old. Elderly patients had a higher female predominance (: p < 0.05), a higher incidence of intercurrent diseases ( p < 0.05), and a higher serum urea level ( p < 0.001). The proportions of patients who underwent early or delayed surgery were comparable. There was no difference in operation time, postoperative analgesic requirements, or complications. Elderly patients, however, had a significantly higher conversion rate (23.3% versus 2.5%; p < 0.05). Even after successful laparoscopic cholecystectomy, there was a longer delay before ambulation ( p < 0.05) and resumption of normal diet ( p = 0.08) with resulting prolonged postoperative ( p = 0.08) and total hospital stay ( p < 0.05). Laparoscopic cholecystectomy is a safe, effective treatment for acute cholecystitis in the elderly. When compared to younger patients, elderly patients are at greater risk for conversion, delayed recovery, and prolonged hospital stay. 1996 by the Société Internationale de Chir, ugie Lo Chung-Mau Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong, HK aut Lai Edward C.S. Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong, HK aut Fan Sheung-Tat Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong, HK aut Liu Chi-Leung Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong, HK aut Wong John Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong, HK aut https://doi.org/10.1007/s002689900148 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900148 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lo Chung-Mau Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong, HK aut NATIONALLICENCE 700 1- Lai Edward C.S. Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong, HK aut NATIONALLICENCE 700 1- Fan Sheung-Tat Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong, HK aut NATIONALLICENCE 700 1- Liu Chi-Leung Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong, HK aut NATIONALLICENCE 700 1- Wong John Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong, HK aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer