Comparison of Elderly Patients with Acute Cholecystitis Treated by Open Cholecystectomy and Laparoscopic Cholecystectomy

Objective To study the suitable operation method of elderly patients with acute cholecystitis. Methods 100 elderly patients with acute cholecystitis were retrospectively analyzed. All patients were divided into two groups according to the operation: open cholecystectomy group (OC group, n=50) and laparoscopic cholecystectomy group (LC group, n=50). Some clinical data were compared in this paper such as operation time, blood loss, length of hospital stay, time of resumption of food, time of intestinal function recovery and complications. Results The time operative、gastrointestinal function recovery, hospitalization, get out of bed, in LC group were lower than the OC group(t=2.782, t=2.845, t=2.811, t=2.914, P0.05); The complications of 20.0% in OC group were higher than the LC group 8.0% (χ2 = 3.794, P0.05). Conclusions Laparoscopic cholecystectomy is acceptable and safe for the elderly patients. Proper preoperative management and careful surgical performance are essential to the success of surgery.