Role of fundus-first laparoscopic cholecystectomy in the management of acute cholecystitis in elderly patients

Yu Chun Wang, Horng Ren Yang, Ping Kuei Chung, Long Bin Jeng, Ray Jade Chen

Research output: Contribution to journalArticle

10 Citations (Scopus)


Background: Conversion from laparoscopic cholecystectomy to open cholecystectomy leads to the loss of the advantages of this minimally invasive procedure and significantly increases length of hospital stay as well as cost. The conversion from laparoscopic to open cholecystectomy is more frequent among patients with acute cholecystitis and in elderly patients. This study evaluated whether fundus-first laparoscopic cholecystectomy could lower the conversion rate in geriatric patients with acute cholecystitis. Materials and Methods: During a twelve-month period, 112 patients (36 of them age 65 years or older) underwent fundus-first laparoscopic cholecystectomy for acute cholecystitis in a tertiary care university hospital in central Taiwan. Results: The conversion rate in the elderly patients was 2.7% (1/36). No major perioperative complications were observed. Minor complications-port-site infection and subhepatic fluid collection-occurred in two patients (5.5%). Conclusion: Laparoscopic cholecystectomy with a fundus-first approach is a safe, effective operative procedure for elderly patients with acute cholecystitis when performed by an experienced laparoendoscopic surgeon.

Original languageEnglish
Pages (from-to)124-127
Number of pages4
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Issue number2
Publication statusPublished - Apr 2006
Externally publishedYes


ASJC Scopus subject areas

  • Surgery

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