Table 3.
Summary of evaluating the feasibility and safety of laparoscopic cholecystectomy in patients ≥80 years.
| Author [reference] | Maxwell [5] | Uecker [6] | Brunt [7] | Hazzan [8] | Tambyraja [9] | Kwon [10] | Yetkin [11] | Wakasugi |
|---|---|---|---|---|---|---|---|---|
| Publication year | 1998 | 2001 | 2001 | 2003 | 2004 | 2006 | 2009 | 2017 |
| Number of patient ≥ 80 years | 105 | 16 | 70 | 67 | 117 | 45 | 11 | 47 |
| Age, year | 84 | NA | 83 | 84 | 83a | 83 | NA | 83 |
| Male sex | 35 (33) | NA | 25 (36) | 31 (46) | 38 (32) | 18 (40) | 5 (45) | 23 (49) |
| BMI, kg/m2 | 25.3 | NA | NA | NA | NA | NA | NA | 22.0 |
| ASA score ≥ 3 | 75 (72) | NA | 43 (61) | 38 (57) | NA | NA | 9 (81) | 11 (23) |
| Previous abodominal surgery | 46 (60) | NA | 40 (57) | NA | NA | 11 (24) | NA | 17 (36) |
| Approach (multi/single- port) | multi | multi | multi | multi | multi | multi | multi | single |
| Operative time, min | 127 | NA | 106 | 94 | NA | 122 | NA | 110a |
| Conversion | 17 (16) | 2 (13) | 11 (16) | 5 (7) | 6 (5) | 1 (2) | 3 (27) | 0 |
| Complication, total | 35 (33) | 3 (19) | 18 (26) | 12 (18) | 26 (22) | 1 (2)b | 4 (36) | 8 (17) |
| Postoperative hospital stay, days | 4.4 | NA | 2.1 | 5.3 | 3a | NA | NA | 5a |
| Mortality | 5 (5) | 0 | 2 (3) | 0 | 1 (0.9) | 0 | 0 | 0 |
Data are given as means or numbers (%), unless otherwise specified.
NA: not applicable.
a
Median.
b
Confined to major complications.