Clinical study on post-operation complications of laparoscopic appendectomy for patients over 65 years old

LI Zugui; LIANG Xianchun

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Clinical study on post-operation complications of laparoscopic appendectomy for patients over 65 years old

更新时间：2023-05-22

- Clinical study on post-operation complications of laparoscopic appendectomy for patients over 65 years old
- null Issue 5, Pages: 415(2019)
- 作者机构：
  
  1. 重庆市綦江区心新医院普外科
  2. 解放军陆军特色医学中心肝胆外科
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2019，
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LI Zugui, LIANG Xianchun. Clinical study on post-operation complications of laparoscopic appendectomy for patients over 65 years old. [J]. null (5):415(2019)
DOI：

LI Zugui, LIANG Xianchun. Clinical study on post-operation complications of laparoscopic appendectomy for patients over 65 years old. [J]. null (5):415(2019) DOI：

摘要

目的分析65岁以上急性阑尾炎患者经腹腔镜和开腹阑尾切除术后并发症的发生率及治疗策略。方法选取重庆市綦江区心新医院2010年1月至2015年12月收治的65岁以上行急性阑尾炎手术切除患者168例为研究对象。按手术方式分为腹腔镜组（LA组）和开腹手术组（OA组）。比较两种术式手术时间、术中出血量、患者下床活动时间、住院时间和术后并发症发生率。结果 LA组患者的手术时间、术中出血量、下床活动时间、住院时间、切口愈合不良和粘连性肠梗阻的发生率明显少于OA组患者，差异具有统计学意义（P<0.05）。结论 65岁以上老年急性阑尾炎患者行腹腔镜阑尾切除术并发症发生率较低，恢复快，但术前应准确评估，根据患者情况选择，避免术后发生并发症。

Abstract

Objective To analyze the incidence of postoperative complications and treatment strategies of laparoscopic appendectomy and conventional open appendectomy for patients over 65 years old.Methods A total of 65 patients with acute appendicitis in Xinxin hospital of Qijiang from January 2010 to December 2015 were selected as object

who were divided into laparoscopic appendectomy(LA) group and open appendectomy(OA) group according to surgical methods.The operative time

blood loss

postoperative ambulation time

hospitalization and rate of postoperative complication between two groups were compared.Results The operative time

blood loss

time of postoperative activity out of bed

hospitalization and rate of poor wound healing and adhesive intestinal obstruction in LA group were lower than those in OA group

the differences were significant(P<0.05).Conclusion Laparoscopic appendectomy has the advantages of low incidence of complication and rapid recovery for patients with acute appendicitis over 65 years old

therefore

the individualized treatment strategy should be selected according to preoperative evaluation of patients to avoid postoperative complication.

关键词

急性阑尾炎腹腔镜术开腹手术老年人并发症

Keywords

acute appendicitislaparoscopic surgeryopen operationelderlycomplication

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Related Institution

Department of General Surgery,Sanxia University Laparoscope Research Institute,Second People’s Hospital of Yichang City

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Department of Neurosurgery， Hebei Hospital of Traditional Chinese Medicine/First Affiliated Hospital of Hebei University of Chinese Medicine

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