{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T19:06:58Z","timestamp":1790017618149,"version":"4.0.1"},"reference-count":0,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[1996,10,1]],"date-time":"1996-10-01T00:00:00Z","timestamp":844128000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1996,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study reviewed the results of laparoscopic cholecystectomy for acute cholecystitis in the elderly. Among 557 patients who underwent laparoscopic cholecystectomy, 70 (12.6%) had a clinical diagnosis of acute cholecystitis confirmed by ultrasonography. There were 28\u00a0men and 42 women with a mean age of 59.9 years (range 20\u201387 years). Thirty patients \u2265 65 years of age were compared to 40 patients &lt; 65 years old. Elderly patients had a higher female predominance (<jats:italic>p<\/jats:italic>&lt; 0.05), a higher incidence of intercurrent diseases (<jats:italic>p<\/jats:italic>&lt; 0.05), and a higher serum urea level (<jats:italic>p<\/jats:italic>&lt; 0.001). The proportions of patients who underwent early or delayed surgery were comparable. There was no difference in operation time, postoperative analgesic requirements, or complications. Elderly patients, however, had a significantly higher conversion rate (23.3% versus 2.5%;<jats:italic>p<\/jats:italic>&lt; 0.05). Even after successful laparoscopic cholecystectomy, there was a longer delay before ambulation (<jats:italic>p<\/jats:italic>&lt; 0.05) and resumption of normal diet (<jats:italic>p<\/jats:italic>= 0.08) with resulting prolonged postoperative (<jats:italic>p<\/jats:italic>= 0.08) and total hospital stay (<jats:italic>p<\/jats:italic>&lt; 0.05). Laparoscopic cholecystectomy is a safe, effective treatment for acute cholecystitis in the elderly. When compared to younger patients, elderly patients are at greater risk for conversion, delayed recovery, and prolonged hospital stay.<\/jats:p>","DOI":"10.1007\/s002689900148","type":"journal-article","created":{"date-parts":[[2002,8,25]],"date-time":"2002-08-25T05:57:49Z","timestamp":1030255069000},"page":"983-987","source":"Crossref","is-referenced-by-count":48,"title":["Laparoscopic Cholecystectomy for Acute Cholecystitis in the Elderly"],"prefix":"10.1002","volume":"20","author":[{"given":"Chung\u2010Mau","family":"Lo","sequence":"first","affiliation":[{"name":"Department of Surgery The University of Hong Kong Queen Mary Hospital Hong Kong<!--<country1>HK<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward C.S.","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Surgery The University of Hong Kong Queen Mary Hospital Hong Kong<!--<country1>HK<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheung\u2010Tat","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Surgery The University of Hong Kong Queen Mary Hospital Hong Kong<!--<country1>HK<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chi\u2010Leung","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Surgery The University of Hong Kong Queen Mary Hospital Hong Kong<!--<country1>HK<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Surgery The University of Hong Kong Queen Mary Hospital Hong Kong<!--<country1>HK<\/country1>-->"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1996,10]]},"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s002689900148.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s002689900148\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s002689900148","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,27]],"date-time":"2023-12-27T16:12:09Z","timestamp":1703693529000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s002689900148"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,10]]},"references-count":0,"journal-issue":{"issue":"8","published-print":{"date-parts":[[1996,10]]}},"alternative-id":["10.1007\/s002689900148"],"URL":"https:\/\/doi.org\/10.1007\/s002689900148","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[1996,10]]}}}