Key result
Laparoscopic surgery in patients aged 60 years and older was safe, with a 30-day morbidity rate of 0.74% and a mortality rate of 0.36%.
Why the study?
Elderly patients are more prone to complications due to physiological changes and comorbidities, warranting an assessment of the safety of laparoscopic surgery in this population.
Is laparoscopic surgery safe in terms of morbidity and mortality in patients aged 60 years and older?
Observational (n=273)
No
Is laparoscopic surgery safe in terms of morbidity and mortality in patients aged 60 years and older?
Laparoscopic surgery is safe in elderly patients aged 60 and above, with very low morbidity and mortality rates.
Single-center observational data suggest laparoscopic procedures are safe in elderly patients; leaves open need for prospective multicenter confirmation.
This study is intended to assess the safety of Laparoscopic surgery in the elderly aged 60 years and older in terms of mortality and morbidity in Manila Doctors Hospital. Since elderly patients are more prone to complications due to the body’s physiological changes and comorbidities. From January 2016 to December 31, 2018, all patients aged 60 years and above who underwent Laparoscopic Cholecystectomy, Laparoscopic Appendectomy and Laparoscopic Hernia Repair were included in the study. Physiologic and operative scores using P-POSSUM and estimates of patient-specific postoperative complications after the surgical procedure using ACS NSQIP risk scoring were used. The overall morbidity and mortality outcome was compared with a choice of international studies. A total of 273 elderly patients underwent laparoscopic surgery. Mostly, 53.1% of the population were 60 to 64 years old who underwent cholecystectomy procedure. The study showed that laparoscopic procedures were safe in the elderly patient despite the challenge that the older population has decreased physiologic reserved and with multiple comorbidities. Among 273 elderly patients, only 3 patients had complications. 2 or 0.74% had pneumonia and 1 or 0.36% died.
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Pallera et al. (2020) conducted an observational in Biliary, appendix, or hernia pathologies requiring surgery (n=273). Laparoscopic surgery was evaluated on 30-day morbidity and mortality. Laparoscopic surgery in patients aged 60 years and older was safe, with a 30-day morbidity rate of 0.74% and a mortality rate of 0.36%.
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