Cholecystectomy in Elderly: Challenge and Critical Analysis of Available Evidence

  • Alessandro Puzziello
  • Domenico Landi
  • Fernando Vicinanza
  • Giulia Pacella
  • Giulio Orlando
  • Ileana Maria Luppino


The incidence of gallstone disease in the elderly population ranges from 14 to 27%. The prevalence of gallstones increases with age and ranges from 20 to 30% in patients aged ≥60 years and increases to 80% in institutionalized individuals aged ≥90 years. Laparoscopic cholecystectomy (LC) is the gold standard for the treatment of gallbladder stone disease. Even though LC has become the gold standard treatment for gallbladder stones, its safety in elderly patients is still questioned. This chapter discusses some aspects of the management and treatment of biliary lithiasis.


Laparoscopic cholecystectomy Biliary lithiasis Elderly Endoscopic treatment ERCP 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Alessandro Puzziello
    • 1
  • Domenico Landi
    • 1
  • Fernando Vicinanza
    • 1
  • Giulia Pacella
    • 1
  • Giulio Orlando
    • 2
  • Ileana Maria Luppino
    • 3
  1. 1.General and Day Surgery Unit, AOU San Giovanni di Dio e Ruggi d’Aragona, Department of Medicine Surgery and DentistryUniversity of SalernoSalernoItaly
  2. 2.University Magna Graecia of CatanzaroCatanzaroItaly
  3. 3.Gastroenterology and Endoscopy UnitAO AnnunziataCosenzaItaly

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