title: [The role of laparoscopy in cholecystectomy in patients 80 years old and older].
abstract: BACKGROUND
  The incidence of cholelithiasis increases with age, however, there is still little data about the outcomes of cholecystectomy in patients with age of 80 and above. Population ageing presents tremendous challenges for surgeons.
  
  
  OBJECTIVE
  The aim of the authors was to compare emergency and elective cholecystectomies performed in these elderly patients.
  
  
  METHODS
  This retrospective study was based on the analysis of operation type, conversion rate, complications, mortality, length of hospital stay of all patients over 80 who underwent cholecystectomy in the last 6 years at the 1st Department of Surgery, Semmelweis University.
  
  
  RESULTS
  69 elective and 51 emergency operations were performed. In the emergency group pancreatitis was found in 9.8%, liver abscess in 14%, and common bile duct stones in 27% of the patients on admission. Laparoscopic cholecystectomy could be performed in 84% of patients in the elective group, while in 17.7% of patients in the emergency group. The length of stay at the intensive care unit was 9.1 and 1 days, while the total length of hospital stay was 12 and 3.6 days for the elective and emergency groups, respectively. In the emergency group mortality was 20% and reoperation was performed in 16% of patients, while at the elective group none of these occurred.
  
  
  CONCLUSIONS
  Laparoscopic cholecystectomy is safe as elective surgery for patients with age of 80 and above. For this reason the authors recommend elective cholecystectomy in this age group.
authors.affiliation: I. Sebészeti Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Üllői út 78., 1082.
authors.forename: Tímea
authors.initials: T
authors.lastname: Kakucs
authors.affiliation: I. Sebészeti Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Üllői út 78., 1082.
authors.forename: László
authors.initials: L
authors.lastname: Harsányi
authors.affiliation: I. Sebészeti Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Üllői út 78., 1082.
authors.forename: Péter
authors.initials: P
authors.lastname: Kupcsulik
authors.affiliation: I. Sebészeti Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Üllői út 78., 1082.
authors.forename: Péter
authors.initials: P
authors.lastname: Lukovich
mesh_terms: D000208:Acute Disease; D000367:Age Factors; D000369:Aged, 80 and over; D002763:Cholecystectomy / Q000009:adverse effects / Q000706:statistics & numerical data; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects* / Q000401:mortality / Q000706:statistics & numerical data*; D002769:Cholelithiasis / Q000401:mortality / Q000601:surgery*; D002908:Chronic Disease; D061887:Conversion to Open Surgery / Q000706:statistics & numerical data; D003422:Critical Care / Q000706:statistics & numerical data; D017558:Elective Surgical Procedures / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data*; D004630:Emergencies / Q000453:epidemiology; D004638:Emergency Treatment / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D015994:Incidence; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D061646:Operative Time; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: cholecystectomia; cholecystectomy; extreme elderly; idős; laparoscopy; laparoszkópia; morbidity; morbiditás; mortality; mortalitás