Laparoscopic Cholecystectomy for Acute Cholecystitis in the Elderly

p < 0.05), a higher incidence of intercurrent diseases ( p < 0.05), and a higher serum urea level ( p < 0.001). The proportions of patients who underwent early or delayed surgery were comparable. There was no difference in operation time, postoperative analgesic requirements, or complications. Elderly patients, however, had a significantly higher conversion rate (23.3% versus 2.5%; p < 0.05). Even after successful laparoscopic cholecystectomy, there was a longer delay before ambulation ( p < 0.05) and resumption of normal diet ( p = 0.08) with resulting prolonged postoperative ( p = 0.08) and total hospital stay ( p < 0.05). Laparoscopic cholecystectomy is a safe, effective treatment for acute cholecystitis in the elderly. When compared to younger patients, elderly patients are at greater risk for conversion, delayed recovery, and prolonged hospital stay.