Acute cholecystitis in the elderly is a severe illness with high operative risks and mortality, which, even if less than in the past, is still too high. The surgical approach has significantly changed over the past 10 years: conservative therapy in the early 1990's was considered the only sure approach, while the laparoscopic surgical approach is recommended today for the emergency treatment of acute cholecystitis, also in the elderly. The aim of this retrospective study was to define the safety and effectiveness of early surgery for acute cholecystitis with the laparoscopic approach in the elderly.
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