Özet:

Objective: While the incidence of cholelithiasis increases with age, laparoscopic cholecystectomy (LC) has been more frequently performed in geriatric patients in recent years. This study aimed to analyze the results of elective and emergency LC.   Methods: Medical records of patients aged over 65 years who underwent elective and emergency LC between January 2014 and December 2016 were retrospectively analyzed.   Results: There were 119 patients; of these, 46 (38.7%) underwent emergency LC (emergency LC group) and 73 (61.3%) underwent elective LC (elective LC group). The conversion rate was 5.9%, and there was no difference between the groups (p=0.177). The mean age of the patients and duration of operation were 70.3 years and 86 min, respectively, and there was no difference between the groups. The hospitalization duration in patients in the elective LC group was shorter than that of those in the emergency LC group (2.11 versus 3.15 days, p=0.0001). Post-operative complications were seen in 9 patients in the elective LC group and 6 patients in the emergency LC group and showed no significant difference. One patient died in the elective LC group.     Conclusion: Emergency LC in geriatric patients resulted in a longer hospitalization duration. However, it can be safely performed with low morbidity and mortality rate. Advanced age is not a contraindication for undergoing LC.

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