Outcome of laparoscopic cholecystectomy is not influenced by chronological age in the elderly

Table 1 Preoperative clinical characteristics n (%)

	Group 1, 65-79 yr (n = 353)	Group 2, ≥ 80 yr (n = 35)	Pvalue
Age	69.8 ± 3.7	82.9 ± 2.9	< 0.001
Male	152	13	0.499
Comorbid disease	166 (47.0)	18 (51.4)	0.619
Diabetes mellitus	67 (19.0)	11 (31.4)	0.080
Hypertension	111 (31.4)	6 (25.7)	0.484
Chronic liver disease	9 (2.5)	1 (2.9)	1.000
Ischemic heart disease	4 (1.1)	0 (0.0)	1.000
Cerebrovascular accident	2 (0.6)	0 (0.0)	1.000
Other	10 (2.8)	1 (2.9)	1.000
Diagnosis
Uncomplicated gallbladder disease	294 (83.3)	28 (80.0)	0.622
Complicated gallbladder disease	47 (13.3)	4 (11.4)	1.000
Gallbladder cancer	12 (3.4)	3 (8.6)	0.144
Preoperative ERCP	33 (9.3)	4 (11.4)	0.761
CBD stone	29 (8.2)	4 (11.4)	0.522
Prior abdominal surgery	78 (22.1)	8 (22.9)	0.918
Preoperative PTGBD	12 (3.4)	1 (2.9)	1.000
ASA score			< 0.01
1 + 2	333 (94.3)	28 (80.0)
3 + 4	20 (5.7)	7 (20.0)

ERCP: Endoscopic retrograde cholangiopancreatography; CBD: Common bile duct; PTGBD: Percutaneous transhepatic gallbladder drainage; ASA: American society of anesthesiologists.

Table 2 Perioperative outcome according to age group n (%)

	Group 1, 65-79 yr (n = 353)	Group 2, ≥ 80 yr (n = 35)	Pvalue
Operative time (min)	60.8 ± 38.4	82.6 ± 47.6	0.087
Conversions	9 (2.5)	2 (5.7)	0.260
Complications	15 (4.2)	2 (5.7)	0.659
Bile leakage	6	1
Intraabdominal fluid collection	3	1
Wound infection	3	0
Subumbilical wound hernia	1	0
Bleeding	2	0
Postoperative hospital stay (d)	5.5 ± 4.2	5.1 ± 4.0	0.873

Table 3 Perioperative outcome according to disease presentation n (%)

	Group A (n = 322)Uncomplicated	Group B (n = 51)Complicated	Pvalue
Age	71.0 ± 5.3	69.9 ± 4.8	0.125
Preoperative WBC count (/mm3)	7048 ± 2166	11 928 ± 4269	< 0.001
Operative time (min)	58.3 ± 35.8	78.4 ± 49.3	< 0.01
Conversions	7 (2.2)	3 (5.9)	0.144
Complications	10 (3.1)	5 (9.8)	< 0.05
Postoperative hospital stay (d)	5.0 ± 3.7	7.9 ± 6.5	< 0.01