Clinical analysis of laparoscopic cholecystectomy in 216 elderly patients with gallbladder stones

Objective To investigate the clinical characteristics and perioperative management of 1aparoscopic cholecystectomy(LC) in the elderly with gallbladder diseases. Methods From January 2006 to December 2016, the clinical data of two hundred and sixteen elderly patients with LC in the Sixth Affiliated People's Hospital of Jinshan Branch were analysed retrospectively. Results The operations of LC were successfully done in 206 patients(95.8%) and 9 cases (4.2%, 9/216) underwent conversion to open cholecystectomy for various reasons.Postoperative complications occurred in 22 cases (10.2%, 22/216).2 cases died within 1 weeks after the operation, and the remaining patients recovered from the hospital. Conclusion Adequate perioperative management, strict surgical indications and operative skills are the necessary conditions for the successful implementation of LC in the elderly. Key words: Cholecystectomy; laparoscopic; elderly