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

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Brief Title

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

Official Title

Laparoscopic Cholecystectomy for Acute Calculous Cholecystitis in the Elderly: More Complex But Equally Safe and Effective. A Retrospective Study on 879 Patients.

Brief Summary

      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.

Study Type

Observational

Primary Outcome

In-hospital morbidity

Secondary Outcome

 conversion to open rate

Condition

Acute Cholecystitis

Intervention

Laparoscopic Cholecystectomy

Study Arms / Comparison Groups

 UNDER 70 Y-O
Description:

Publications

* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.

Recruitment Information

Recruitment Status

Procedure

Estimated Enrollment

876

Start Date

January 1, 2020

Completion Date

November 30, 2020

Primary Completion Date

August 31, 2020

Eligibility Criteria

        Inclusion Criteria:

          -  acute calculous cholecystitis

        Exclusion Criteria:

          -  tumors of the biliary tract

Gender

All

Ages

18 Years - N/A

Contacts

, ,

Location Countries

Italy

Location Countries

Italy

Administrative Informations

NCT ID

NCT04596306

Organization ID

DT- 02- 2020

Responsible Party

Principal Investigator

Study Sponsor

Azienda Ospedaliero, Universitaria Pisana

Study Sponsor

, ,

Verification Date

January 2021