The Surgical Versus Non-Surgical Approach to the Management of Acute Cholelithiasis Within the Elderly Population: A Narrative Review

Key Points

• This review aims to evaluate the effectiveness and risks of surgical versus non-surgical treatment options for acute cholelithiasis in elderly patients.
• Conducted a narrative review summarizing existing literature on surgical and non-surgical approaches.
• Evaluated outcomes related to morbidity, mortality, and readmission rates.
• Explored the importance of physiological reserve and patient preferences in treatment decisions.
• Laparoscopic cholecystectomy considered the gold standard but has higher risks in elderly patients.
• Non-operative methods lower immediate surgical risks but may lead to higher recurrence and readmission rates.
• A tailored, multidisciplinary approach is essential for optimal management of elderly patients.

Abstract