KẾT QUẢ PHẪU THUẬT NỘI SOI ĐIỀU TRỊ VIÊM TÚI MẬT CẤP Ở NGƯỜI CAO TUỔI TẠI BỆNH VIỆN ĐA KHOA TỈNH QUẢNG NINH

Abstract

Objective: To evaluate the results of endoscopic surgery for the treatment of acute appendicitis in elderly patients at Quang Ninh Provincial General Hospital from 1/2020 to 12/2022. Subjects and methods: A retrospective descriptive study was conducted on 70 elderly patients diagnosed with acute appendicitis and underwent endoscopic appendectomy. Results: The average age in our study was 74.7 ± 9.509 years, Male/Female ratio: 1/1.09. Gallstones were the most common cause of acute appendicitis (82.9%). The majority of patients underwent endoscopic appendectomy (92.85%). The rate of conversion to open surgery was very low (7.15%). The average operation time in the endoscopic group was 73.25±18.85 minutes, longer in the converted open group (114±19.49 minutes). The average postoperative hospital stay was 6.15±2.5 days. The complication rate during surgery was low (4.28%), and the postoperative complication rate was also low (12.9%). Bacterial culture was performed in 27.1% of patients, with positive growth of bacteria in 78.94% of cases, higher than cases with negative bacterial growth (21.06%). E. Coli was the most common positive bacteria (73.33%), followed by suppurative appendicitis (62.9%) and gangrenous appendicitis (31.4%). The rate of abscess formation was low (5.7%). Surgical outcomes at the time of discharge: Good outcomes were achieved in 87.1% of patients, while a small proportion had fair outcomes (12.9%), and no patients had poor outcomes.