ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ SỚM CỦA PHẪU THUẬT NỘI SOI ĐIỀU TRỊ VIÊM RUỘT THỪA TẠI BỆNH VIỆN QUẬN 4 NĂM 2023

Abstract

Background: Acute appendicitis is one of the most common surgical emergencies, with laparoscopic appendectomy being the standard treatment. Evaluating the effectiveness of this technique in local hospitals is essential for optimizing patient outcomes. Objectives: To investigate the clinical and paraclinical characteristics and assess the early outcomes of laparoscopic appendectomy in the management of acute appendicitis at District 4 Hospital in 2023. Methods: A retrospective descriptive study was conducted on 132 patients who underwent laparoscopic appendectomy from January 2023 to December 2023. Results: mean age: 40 ± 15 year, nutritional status: 72% of patients had a normal BMI. Paraclinical findings: Leukocytosis was observed in 83% of cases, and left-shifted neutrophils in 78%. Mean appendix diameter on imaging was 9,76 ± 2,17 mm. Preoperative diagnosis: Acute appendicitis with necrosis (88%), localized peritonitis due to necrotic appendicitis (9,1%), and appendiceal abscess (3%). Mean operative time: 81 ± 27 minutes. Mean hospital stay: 4,81 ± 1,03 days. complications: 3% (no cases of mortality or reoperation). Conclusion: Laparoscopic appendectomy is a safe and effective treatment for acute appendicitis at District 4 Hospital. This approach reduces hospital stay and has a low complication rate, supporting its widespread application in clinical practice.