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Laparoscopic versus open appendectomy for appendicitis in elderly patients.

Hyun Nam Baek¹, Yong Hwan Jung, Yong Hee Hwang

¹Department of Surgery, Sahmyook Medical Center, Seoul, Korea.

Journal of the Korean Society of Coloproctology

|November 22, 2011

Summary

Laparoscopic appendectomy is safe and effective for elderly patients with appendicitis. This minimally invasive approach offers reduced postoperative complications and faster recovery compared to open surgery.

Keywords:

Aged Appendicitis Laparoscopy appendectomy

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Area of Science:

Geriatric Surgery
Minimally Invasive Surgery
Gastrointestinal Surgery

Background:

Appendectomy is the most common emergency surgery in the elderly.
Acute appendicitis cases are increasing in the elderly population.
Evaluating laparoscopic appendectomy's clinical significance in this demographic is crucial.

Purpose of the Study:

To investigate the outcomes of laparoscopic appendectomy (LA) in patients over 60.
To compare LA with open appendectomy (OA) for elderly appendicitis patients.

Main Methods:

Retrospective study of 77 patients (30 LA, 47 OA) aged over 60 with appendicitis (July 2007-Dec 2009).
Assessed demographic data, operative time, hospital stay, bowel function, pain control, cost, and complications.
Compared outcomes between laparoscopic and open appendectomy groups.

Main Results:

No significant differences in demographics, operative time, or hospital stay between LA and OA.
Laparoscopic appendectomy showed a significantly higher rate of early gas expulsion (80% vs 57%).
Postoperative complications were significantly lower in the LA group (7% vs 32%).

Conclusions:

Laparoscopic appendectomy is a safe and effective procedure for elderly appendicitis patients.
It is not associated with increased morbidity and can be recommended for routine use.
The study supports LA as a preferred method for appendicitis in the elderly.