Is Laparoscopic Common Bile Duct Exploration Safe for the Oldest Old Patients?

Abstract

Background This study aimed to identify the risk factors for postoperative complications of laparoscopic common bile duct exploration (LCBDE) in the oldest old patients aged 80 years or older. Methods From March 2001 to October 2020, 363 patients underwent LCBDE with stone removal. Based on their ages, they were divided into two groups, those younger than 80 years (n=240) and those 80 years old or older (n=123). We compared patient demographics, disease characteristics, surgical outcomes, and postoperative complications based on these groups. Results The older group had a higher proportion of patients with a Charlson Comorbidity Index ≥5 (p2 hours (OR=3.204; 95% CI, 1.802–5.695; p<0.001). Conclusion In patients with Charlson Comorbidity Index <5 and operation time <2 hours, LCDBE with stone removal can be considered safe for the oldest old patients.

Keywords

• laparoscopy
• choledocholithiasis
• aged
• postoperative complications
• multivariate analysis