PP 06. Outcomes Of Cholecystectomies In Ultra Octogenarians

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M. Elshaer, G. Gravante, S. Hudson, H. Ebdewi

18:40 - 18:46h at Margrit Room

Categories: Gastrointestinal Surgery, Poster Session

Session: Poster (P1) - Gastrointestinal Surgery

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Background
The aim of this study was to review cholecystectomy results in ultra octogenarians and investigate common risk factors for postoperative morbidity and mortality.

Material and Methods
A retrospective analysis was conducted over the last nine years of activity. Included were patients aged 80 years or older. Factors considered potentially influencing the postoperative morbidity or mortality were the modality of operation (emergency vs. lective), type of operation (laparoscopic, laparoscopic converted to open, open cholecystectomy) and the ASA score.

Result
104 patients were analysed. Elective operations were 96 (92.3%) and emergency 8 (7.7%). Most patients underwent LC (n=58;55.8%), followed by OC (n=30; 28.8%) and LCC (n=16; 15.4%). Hospital stay was 4.8 ± 2.5 days. 18.3% of patients experienced a postoperative complication, 2.9% died. Operations conducted as an emergency, the open or laparoscopic converted to open approaches had a significant higher morbidity and mortality. The ASA score did not seem to influence the postoperative outcomes.

Conclusion
Cholecystectomies conducted in ultra octogenarians harbor significant increased risks compared to classic literature data. Among them operations conducted as an emergency, OC and LCC had the worst outcomes. These factors should be taken into account