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Laparoscopic Cholecystectomy for Acute Calculous Cholecystitis in the Elderly: A Retrospective Study.

A

Azienda Ospedaliero, Universitaria Pisana

Status

Completed

Conditions

Acute Cholecystitis

Treatments

Procedure: Laparoscopic Cholecystectomy

Study type

Observational

Funder types

Other

Identifiers

NCT04596306
DT- 02- 2020

Details and patient eligibility

About

With the progressive aging of the population in industrialized countries, acute calculous cholecystitis (ACC) has been constantly increasing among elderly. Because ACC is the most common complication of biliary gallstone disease and the population will become older, ACC in elderly is expected to increase. In 2017, the incidence of gallstone disease in Italian population is was 18.8% in women and 9.5% in men; the prevalence was 15% and 24% at 70 years and 24% and 35% at 90 years for males and females respectively. Since the increase in age is often associated with an increase in comorbidity, fragility, surgery related complications, morbidity and mortality, the surgical indication for gallstone is still debated and often based on anesthetic risk. In order to avoid surgery for elderly and high-risk patients, alternative treatments to surgery have been developed. The present study aimed to compare two groups of patients with acute calculous cholecystitis undergone laparoscopic cholecystectomy, under and over 70 years old and to assess whether laparoscopy can offer the same safety and efficacy to older people.

Enrollment

876 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • acute calculous cholecystitis

Exclusion criteria

  • tumors of the biliary tract

Trial design

876 participants in 2 patient groups

UNDER 70 Y-O
Treatment:
Procedure: Laparoscopic Cholecystectomy
OVER 70 Y-O
Treatment:
Procedure: Laparoscopic Cholecystectomy

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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