Laparoscopic appendectomy in the elderly

Y. C. Wang, H. R. Yang, P. K. Chung, L. B. Jeng, R. J. Chen

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Background: This study aimed to compare the outcomes of laparoscopic and open appendectomy among the elderly. Methods: Data on 53 elderly patients with a diagnosis of suspected appendicitis were prospectively collected and retrospectively reviewed. Among these patients, 24 had undergone laparoscopic appendectomy (LA) and 29 had undergone open appendectomy (OA). The indications for either method were based on the patient's choice. Results: No statistically significant difference in operative time was found between the LA (70 ± 28 min) and OA (60 ± 22 min) groups. There was no statistically significant difference in lengths of hospital stay between the LA (4.8 ± 3.0 days) and OA (5.0 ± 3.1 days) groups, and there was a statistically significant difference in the postoperative analgesic doses between the LA (0.5 ± 0.3 doses) and OA (1.7 ± 1.5 doses) groups. No conversion of laparoscopic to open surgery was necessary, and no intraabdominal abscesses developed. Conclusions: According to this study, LA is as safe and effective as OA for the elderly. Furthermore, it significantly reduces postoperative wound pain.

Original languageEnglish
Pages (from-to)887-889
Number of pages3
JournalSurgical Endoscopy and Other Interventional Techniques
Volume20
Issue number6
DOIs
Publication statusPublished - Jun 2006
Externally publishedYes

Keywords

  • Appendectomy
  • Elderly
  • Laparoscopic

ASJC Scopus subject areas

  • Surgery

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