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Surgery Research and Practice
Volume 2017, Article ID 8204578, 5 pages
Research Article

Laparoscopic Cholecystectomy in the Elderly: An Experience at a Tertiary Care Hospital in Western Nepal

1Department of General Surgery, Universal College of Medical Sciences, Bhairahawa 32900, Nepal
2Department of ENT, National Academy of Medical Sciences, Kathmandu 44600, Nepal

Correspondence should be addressed to Tika Ram Bhandari; moc.liamtoh@cmnakit

Received 19 February 2017; Revised 3 April 2017; Accepted 20 April 2017; Published 10 May 2017

Academic Editor: Ahmed H. Al-Salem

Copyright © 2017 Tika Ram Bhandari et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. The incidence of gallstone increases with increasing age. No studies have been reported in the elderly population with laparoscopic cholecystectomy from developing nations. The aim of this study was to compare perioperative outcomes of laparoscopic cholecystectomy between the elderly (≥60 years old) and the young (<60 years old). Methods. From July 2015 to June 2016, a retrospective review of medical records of 78 elderly patients (≥60 years old) and 164 young patients (<60 years old) who underwent laparoscopic cholecystectomy was done. The patients’ demographics and perioperative outcomes were analyzed. Results. Median ages were 65 years (range: 60–80) and 45 years (range: 21–59) for the elderly group and the young group. The majority of patients were female (62.8 and 72%). There were no significant differences in the conversion rate (9 and 7.9%, ), postoperative complications (17.9 and 14.6%, ), and length of stay in the hospital (4 days for both groups, ) between the two groups. There was no mortality in either of the groups. Conclusion. Our results of laparoscopic cholecystectomy in elderly patients are comparable with those in young patients. Therefore, laparoscopic cholecystectomy is safe even in the elderly population.