Comparison between Laparoscopic Cholecystectomy versus Open Cholecystectomy in Elderly Individuals Presenting with Acute Cholecystitis: A Retrospective Study

Abstract

Aim: The goal of this study was to compare the outcomes of laparoscopic cholecystectomy with open cholecystectomy in elderly adults.

Design: Retrospective study

Place and duration: This Study was conducted at Sindh Rangers Hospital Karachi, Pakistan from December 2019 to December 2021.

Methodology: The search was performed for patients with acute cholecystitis who had laparoscopic cholecystectomy, which included individuals aged 75 years and above. Between December 2019 to December 2021, total 296 individuals had their cholecystectomy for acute cholecystitis. Patients in the comparison group had an open cholecystectomy for acute cholecystitis at the same age and for the same length of time as the research participants. Time in the operating room, length of stay in the hospital, morbidity, and death was recorded.

Results: Between the two groups, demographic statistics and co-morbidities were comparable. Patients who underwent laparoscopy had a significantly shorter postoperative hospital stay (P=0.03). Patients having laparoscopy had a substantially decreased overall morbidity rate (P0.05). The mortality rate, on the other hand, showed no statistically significant change. There was no substantial bile duct damage in any group of individuals.

Conclusion: Laparoscopic cholecystectomy is a safe surgery that results in fewer complications and a shorter hospital stay than open cholecystectomy in older individuals with acute cholecystitis