title: A prospective randomised study of laparoscopic v. open cholecystectomy in aged patients with cholecystolithiasis.
abstract: Between August 1992 and July 1993, 27 patients aged 70 years of older with cholelithiasis were prospectively randomised into 2 groups. Fifteen patients underwent laparoscopic cholecystectomy and 12 patients underwent open cholecystectomy. Shorter operation time (93.3 +/- 25.3 minutes v. 176.3 +/- 26.1 minutes, P < 0.00001), fewer postoperative analgesic requirements (0.53 +/- 0.52 days v. 2.00 +/- 0.74 days, P < 0.00001), shorter postoperative hospital stay (3.93 +/- 1.71 days v. 7.92 +/- 0.79 days, P < 0.00001) and better cosmesis were found in the laparoscopic cholecystectomy group. The above data suggest that laparoscopic cholecystectomy is the treatment of choice for cholecystolithiasis in elderly patients.
authors.affiliation: Department of Surgery, Veterans General Hospital, Taipei, Taiwan, Republic of China.
authors.forename: S M
authors.initials: SM
authors.lastname: Huang
authors.forename: C W
authors.initials: CW
authors.lastname: Wu
authors.forename: W Y
authors.initials: WY
authors.lastname: Lui
authors.forename: F K
authors.initials: FK
authors.lastname: P'eng
mesh_terms: D000368:Aged; D000700:Analgesics / Q000627:therapeutic use; D002763:Cholecystectomy / Q000379:methods*; D017081:Cholecystectomy, Laparoscopic / Q000401:mortality; D002769:Cholelithiasis / Q000601:surgery*; D005704:Gallbladder / Q000601:surgery; D005705:Gallbladder Diseases / Q000601:surgery; D006801:Humans; D007902:Length of Stay; D009017:Morbidity; D010149:Postoperative Pain / Q000188:drug therapy; D011183:Postoperative Complications; D011446:Prospective Studies; D013997:Time Factors
chemical_list: D000700:Analgesics