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Erschienen in: European Surgery 4/2020

27.02.2020 | review

Strategies for management of acute cholecystitis in octogenarians

verfasst von: Shailesh Mohandas, MS, FRCS(Ed), FRCS(General Surgery), Robert Hutchins

Erschienen in: European Surgery | Ausgabe 4/2020

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Summary

Laparoscopic cholecystectomy is a gold standard procedure for management of acute cholecystitis. In the octogenarian population, it is well documented that cholecystectomy is less likely to be offered to them than their younger counterparts. This review discusses the treatment option available for this unique subset of patients aged 80 years and older who present with acute cholecystitis.
Vorheriger Artikel Rootically invasive surgery: allow yourself and smile
Nächster Artikel Histologic changes in early colonic anastomotic healing using autologous platelet-rich fibrin matrix
Literatur
1.
Magnuson TH. Surgery of the biliary tree in the aging population. Probl Gen Surg. 1996;13:75–82.
2.
Bergman S, Al-Bader M, Sourial N, Vedel I, Hann WC, Bilek CG, et al. Recurrence of biliary disease following non—operative management in elderly patients. Surg Endosc. 2015;29:3485–90. PubMed
3.
Pavlidis TE, Marakis GN, Symeonidis N, Psarras K, Ballas K, Rafailidis S, et al. Considerations concerning laparoscopic cholecystectomy in the extremely elderly. J Laparoendosc Adv Surg Tech A. 2008;18(1):56–60. PubMed
4.
5.
Escarce JJ, Shea JA, Chen W, Qian Z, Schwartz JS. Outcomes of open cholecystectomy in the elderly: a longitudinal analysis of 21,000 cases in the pre-laparoscopic era. Surgery. 1995;117(2):156–64. PubMed
6.
Irvin TT, Arnstein PM. Management of symptomatic gallstones in the elderly. Br J Surg. 1988;75:1163–5. PubMed
7.
Lujan JA, Sanchez-Bueno F, Parrilla P, Robles R, Torralbaa JA, Gonzalez-Costea R. Laparoscopic vs open cholecystectomy in patients aged 65 and older. Surg Laparosc Endosc. 1998;8(3):208–10. PubMed
8.
Magnuson TH, Ratner LE, Zenilman ME, Bender JS. Laparoscopic cholecystectomy: applicability in the geriatric population. Am Surg. 1997;63(1):91–6. PubMed
9.
Fuks D, Duhaut P, Mauvais F, Pocard M, Haccart V, Paquet JC, et al. A retrospective comparison of older and younger adults undergoing early laparoscopic cholecystectomy for mild to moderate calculus cholecystitis. J Am Geriatr Soc. 2015;63:1010–6. PubMed
10.
Lirussi F, Nassuato G, Passera D, Toso S, Zalunardo B, Monica F, et al. Gallstone disease in an elderly population: the silea study. Eur J Gastroenterol Hepatol. 1999;11(5):485–91. PubMed
11.
Festi D, Dormi A, Capodicassa S, Staniscia T, Attilli AF, Loria P, et al. Incidence of gallstone disease in Italy: results from a multicentre population based Italian study. World J Gastroenterol. 2008;14(34):5282–9. PubMedPubMedCentral
12.
Ratner J, Lisbona A, Rosenbloom M, Palayew M, Szabolcsi S, Tupaz T. The prevalence of gallstone disease in very old institutionalised persons. JAMA. 1991;265(7):902–3. PubMed
13.
Somasekar K, Foulkes R, Morris-Stiff G, Hassn A. Acute pancreatitis in the elderly—can we perform better? Surgeon. 2011;9:305–8. PubMed
14.
Arthur JDR, Edwards PR, Chagla LS. Management of gallstone disease in the elderly. Ann R Coll Surg Engl. 2003;85(2):91–6. PubMedPubMedCentral
15.
16.
Sugiyama M, Atomi Y. Treatment of acute cholangitis due to choledocholithiasis in elderly and younger patients. Arch Surg. 1997;132:1129–33. PubMed
17.
Simopoulos C, Botaitis S, Polychronidis A, Tripsianis G, Karayiannakis AJ. Risk factors for conversion of laparoscopic cholecystectomy to open cholecystectomy. Surg Endosc. 2005;19(7):905–9. PubMed
18.
O’Leary DP, Myers E, Waldron D, Coffey JC. Beware the contracted gallbladder—ultrasonic predictors of conversion. Surgeon. 2013;11:187–90. PubMed
19.
Rosen M, Brody F, Ponsky J. Predictive factors for conversion of laparoscopic cholecystectomy. Am J Surg. 2002;184(3):254–8. PubMed
20.
Botaitis S, Pitiakoudis M, Perente S, Tripsianis G, Polychronidis A, Simopoulos C. Laparoscopic cholecystectomy in acute cholecystitis. An analysis of the risk factors. S Afr J Surg. 2012;50:62–8. PubMed
21.
Brunt LM, Quasebarth MA, Dunnegan DL, Soper NJ. Outcomes analysis of laparoscopic cholecystectomy in the extremely elderly. Surg Endosc. 2001;15(7):700–5. PubMed
22.
Kauver DS, Brown BD, Braswell AW, Harnisch M. Laparoscopic cholecystectomy in the elderly: increased operative complications and conversion to laparotomy. J Laparoendosc Adv Surg Tech A. 2005;15(4):379–82.
23.
Pessaux P, Tuech JJ, Derouet N, Rouge C, Regenet N, Amaud JP. Laparoscopic cholecystectomy in the elderly: a prospective study. Surg Endosc. 2000;14(11):1067–9. PubMed
24.
Wittgen CM, Andrus CH, Fitzgerald SD, Baudendistel LJ, Dahms TE, Kaminski DL. Analysis of the hemodynamic and ventilatory effects of laparoscopic cholecystectomy. Arch Surg. 1991;126(8):997–1000. PubMed
25.
Sato K, Kawamura T, Wakusawa R. Hepatic blood flow and function in elderly patients undergoing laparoscopic cholecystectomy. Anesth Analg. 2000;90:1198–202. PubMed
26.
Wallace DH, Serpell MG, Baxter JN, O’Dwyer PJ. Randomised trial of different insufflation pressures for laparoscopic cholecystectomy. Br J Surg. 1997;84:455–8. PubMed
27.
Koivusalo AM, Pere P, Valjus M, Scheinin T. Laparoscopic cholecystectomy with carbon dioxide pneumoperitoneum is safe even for high-risk patients. Surg Endosc. 2008;22(1):61–7. PubMed
28.
Kuy S, Sosa JA, Roman SA, Desai R, Rosenthal RA. Age matters: a study of clinical and economic outcomes following cholecystectomy in elderly Americans. Am J Surg. 2011;201:789–96. PubMed
29.
Genc V, Sulaimanov M, Cipe G, Basceken SI, Erverdi N, Gurel M, et al. What necessitates the conversion to open cholecystectomy? A retrospective analysis of 5164 consecutive laparoscopic operations. Clinics (Sao Paulo). 2011;66(3):417–20.
30.
Kanamori A, Kiriyama S, Tanikawa M, Hisanaga Y, Toyoda H, Tada T, et al. Long- and short-term outcomes of ERCP for bile duct stones in patients over 80 years old compared to younger patients: a propensity score analysis. Endosc Int Open. 2016;4(1):83–90.
31.
Nikfarjam M, Yeo D, Perini M, Fink MA, Muralidharan V, Starkey G, et al. Outcomes of cholecystectomy for treatment of acute cholecystitis in octogenarians. ANZ J Surg. 2014;84(12):943–8. PubMed
32.
Kirshtein B, Bayme M, Bolotin A, Mizzrahi S, Lantsberg L. Laparoscopic cholecystectomy for acute cholecystitis in the elderly: is it safe? Surg Laparosc Endosc Percutan Tech. 2008;18:334–9. PubMed
33.
Lupinacci RM, Nadal LR, Rego RE, Dias AR, Marcari RS, Lupinacci RA, et al. Surgical management of gallbladder disease in the very elderly: are we operating them at the right time? Eur J Gastroenterol Hepatol. 2013;25:380–4. PubMed
34.
Tambyraja AL, Kumar S, Nixon SJ. Outcome of laparoscopic cholecystectomy in patients 80 years and older. World J Surg. 2004;28:745–8. PubMed
35.
Loozen CS, van Ramshorst B, van Santvoort HC, Boerma D. Early cholecystectomy for acute cholecystitis in the elderly population: a systematic review and meta-analysis. Dig Surg. 2017;34:371–9. PubMed
36.
Trust MD, Sheffield KM, Boyd CA, Gamel JB, Zhang D, Townsend CM, et al. Gallstone pancreatitis in older patients: are we operating enough? Surgery. 2011;150:515–25. PubMed
37.
Banz V, Gsponer T, Candinas D, Guller U. Population based analysis of 4113 patients with acute cholecystitis: defining the optimal time point for laparoscopic cholecystectomy. Ann Surg. 2011;254:964–70. PubMed
38.
Uecker J, Adams M, Skipper K, Dunn E. Cholecystitis in the octogenarian: is laparoscopic cholecystectomy the best approach? Am Surg. 2001;67:637–40. PubMed
39.
Tagle FM, Lavergne J, Barkin JS, Unger SW. Laparoscopic cholecystectomy in the elderly. Surg Endosc. 1997;11:636–8. PubMed
40.
Riall TS, Zhang D, Townsend CM Jr, Kuo Y‑F, Goodwin JS. Failure to perform cholecystectomy for acute cholecystitis in elderly patients is associated with increased morbidity, mortality, and cost. J Am Coll Surg. 2010;210(5):668–79. PubMedPubMedCentral
41.
Spira RM, Nissan A, Zamir O, Cohen T, Fields SI, Freund HR. Percutaneous transhepatic cholecystostomy and delayed laparoscopic cholecystectomy in critically ill patients with acute calculus cholecystitis. Am J Surg. 2002;183(1):62–6. PubMed
42.
Rodriguez-Sanjuan JC, Arruabarrena A, Sanchez-Moreno L, Gonzalez-Sanchez F, Gomez-Fleitas M. Acute cholecystostomy or emergency cholecystectomy? Am J Surg. 2012;204:54–9. PubMed
43.
Sugiyama M, Tokuhara M, Atomi Y. Is percutaneous cholecystostomy the optimal treatment for acute cholecystitis in the very elderly? World J Surg. 1998;22:459–63. PubMed
44.
Li JCM, Lee DWH, Lai CW, Li AC, Chu DW, Chan AC. Percutaneous cholecystostomy for the treatment of acute cholecystitis in the critically ill and elderly. Hong Kong Med J. 2004;10:389–93. PubMed
45.
Ha JP, Tsui KK, Tang CN, Siu WT, Fung KH, Li MK. Cholecystectomy or not after percutaneous cholecystostomy for acute calculous cholecystitis in high risk patients. Hepatogastroenterology. 2008;55:1497–502. PubMed
46.
Chopra S, Dodd GD, Mumbower AL, Chintapalli KN, Schwesinger WH, Srinek KR, et al. Treatment of acute cholecystitis in non-critically ill patients at high surgical risk; comparison of clinical outcomes after gallbladder aspiration and after percutaneous cholecystostomy. Ajr Am J Roentgenol. 2001;176:1025–31. PubMed
47.
Itoi T, Coelho-Prabhu N, Baron TH. Endoscopic gallbladder drainage for management of acute cholecystitis. Gastrointest Endosc. 2010;71:1038–45. PubMed
48.
Ito K, Fujita N, Noda Y, Kobayashi G, Kimura K, Sugawara T, et al. Percutaneous cholecystostomy versus gallbladder aspiration for acute cholecystitis: a prospective randomised controlled trial. AJR Am J Roentgenol. 2004;183:193–6. PubMed
49.
Hasan MK, Itoi T, Varadarajulu S. Endoscopic management of acute cholecystitis. Gastrointest Endosc Clin N Am. 2013;23:453–9. PubMed
50.
Maekawa S, Nomura R, Harada M. Endoscopic gallbladder stenting for acute cholecystitis: a retrospective study of 46 elderly patients aged 65 years or older. BMC Gastroenterol. 2013;13:65. PubMedPubMedCentral
51.
Penas -Herrero I, de la Serna-Higuera C, Perez-Miranda M. Endoscopic ultrasound guided gallbladder drainage for the management of acute cholecystitis. J Hepatobiliary Pancreat Sci. 2015;22:35–43. PubMed
52.
Day LW, Lin L, Somsouk M. Adverse events in older patients undergoing ERCP: a systematic review and meta-analysis. Endosc Int Open. 2014;2:28–36.
53.
Tohda G, Ohtani M, Dochin M. Efficacy and safety of emergency ERCP for acute cholangitis in the elderly. WJG. 2016;22:8382–8. PubMedPubMedCentral
54.
Finkelmeier F, Tal A, Ajouaou M, Filmann N, Zeuzem S, Waidmann O, et al. ERCP in elderly patients: increased risk of sedation adverse events but low frequency of post-ERCP pancreatitis. Gastrointest Endosc. 2015;82:1051–9. PubMed
55.
Ali M, Ward G, Staley D, et al. A retrospective study of the safety and efficacy of ERCP in octogenarians. Dig Dis Sci. 2011;56:586–90. PubMed
56.
Hersey N, Goode SD, Peck RJ, Lee F. Stenting of the cystic duct in benign disease: a definitive treatment for the elderly and unwell. Cardiovasc Intervent Radiol. 2015;38:964–70. PubMed
57.
Bergman S, Sourial N, Vedel I, Hanna WC, Fraser SA, Bilek AJ, et al. Gallstone disease in the elderly: are older patients managed differently? Surg Endosc. 2011;25:55–61. PubMed
58.
Wiggins T, Markar SR, Mackenzie H, Jamel S, et al. Evolution in the management of acute cholecystitis in the elderly: population-based cohort study. Surg Endosc. 2018;32(10):4078–86. PubMedPubMedCentral
59.
Loozen CS, van Santvoort HC, van Duijvendijk P, Besselink MGH, Gouma DJ, Nieuwenhuijzen GAP, et al. Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): multicentre randomised clinical trial. BMJ. 2018;363:K3965. PubMedPubMedCentral
Metadaten
Titel
Strategies for management of acute cholecystitis in octogenarians
verfasst von
Shailesh Mohandas, MS, FRCS(Ed), FRCS(General Surgery)
Robert Hutchins
Publikationsdatum
27.02.2020
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 4/2020
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-020-00629-0

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