Articles T67 Số CDD10 - HN Bệnh viện Nhi Đồng 2 - HN Trường Đại học Nguyễn Tất Thành

EVALUATION OF OUTCOMES OF LAPAROSCOPIC SURGERY FOR APPENDICEAL PERITONITIS IN OLDER ADULTS AT THONG NHAT HOSPITAL

Tran Thi Xuan1,2, Bui Thi Thao1,2, Pham The Anh1,2
1 Department of Gastrointestinal Surgery – Thong Nhat Hospital
2 Khoa Ngoại Tiêu hóa – Bệnh viện Thống Nhất
DOI: 10.52163/yhc.v67icd10.6187
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Abstract

Objective: To evaluate the outcomes of laparoscopic surgery for appendiceal peritonitis in older adults at Thong Nhat Hospital from January 2023 to December 2024.

Subject and method: A restrospective study of 87 patients aged ≥ 65 years who underwent laparoscopic surgery for appendiceal peritonitis at the Department of Gastrointestinal Surgery in Thong Nhat Hospital.

Results: A total of 87 patients were included, with a mean age of  75.08 ± 8.3 years. 19.5% had comorbidities such as hypertension, diabetes, coronary artery disease, ect. The postoperative complication rate is higher in patients with comorbidities. The mean operative time was 92.3 ± 35.6 minutes; 65.5% of patients required postoperative drainage; the mean length of stay was 6.6 ± 1.8 days.

Conclusion: Laparoscopic surgery is an effective and safe treatment for appendiceal peritonitis in older adults. Particular attention to perioperative management and postoperative care is warranted for patients with comorbid conditions to reduce complications.

References
[1]
Nguyễn Hưng Đạo, Trịnh Hồng Sơn (2022). Đánh giá kết quả phẫu thuật nội soi điều trị viêm phúc mạc ruột thừa tại một số tỉnh miền núi phía Bắc. Tạp chí y dược lâm sàng 108, tập 17, tr 102-107. Google Scholar
[2]
Phan Minh Trí, Đỗ Đình Công. Bệnh học ngoại khoa tiêu hóa. Nhà xuất bản Y học; 2021:32-48. Google Scholar
[3]
Vũ Đức Tùng, Lô Quang Nhật (2023). Kết quả điều trị phẫu thuật nội soi viêm phúc mạc ruột thừa tại trung tâm y tế huyện Thanh Sơn, tỉnh Phú Thọ. Tạp chí y học Việt Nam, tập 532, tr 17-21. Google Scholar
[4]
Di Saverio, S., Podda, M., De Simone, B. et al. Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines. World J Emerg Surg 15, 27 (2020). https://doi.org/10.1186/s13017-020-00306-3. Google Scholar
[5]
Yuan J, Chen Q, Hong W, Yu L, Li X. Comparison of Clinical Features and Outcomes of Appendectomy in Elderly vs. Non-Elderly: A Systematic Review and Meta-Analysis. Front Surg. 2022 Feb 21;9:818347. https://doi: 10.3389/fsurg.2022.818347. Google Scholar