Kim Yujin1, Chung Heeseok2 and Park Sunhee3,4*
1Department of Family Medicine, Gwangju Veterans Hospital, South Korea
2Department of Surgery, Gwangju Veterans Hospital, South Korea
3Department of Pharmacy, Chosun University Hospital, South Korea
4Department of Clinical Pharmacy, Chosun University, South Korea
Background: The goals of this study are to evaluate the advantage and disadvantage of singleincision laparoscopic appendectomy in super-elderly (≥ 80) patients. Methods: Of the elderly (≥ 65) patients underwent appendectomy total 81 patients were reviewed in this study. The patients divided into three groups: open appendectomy in super-elderly patients groups (32 patients), single-incision laparoscopic appendectomy in super-elderly patients groups (15 patients) and single-incision laparoscopic appendectomy in elderly patients groups (34 patients). Demographic and clinical features, operative findings, and postoperative complications were retrospectively compared among the three groups. Results: In the single-incision laparoscopic appendectomy in super-elderly patients groups and single-incision laparoscopic appendectomy in elderly patients groups, the postoperative gas passage and voiding difficulty showed significant differences (p=0.015 and p=0.004), respectively. Otherwise, operation time, postoperative complications except voiding difficulty did not differ significantly among three groups. Conclusion: These outcomes indicate that single-incision laparoscopic appendectomy in patient's ≥ 80 years can be done safely and one of the accepted procedures for acute appendicitis.
Single-incision laparoscopic surgery; Laparoscopic appendectomy; Super-elderly patient; Acute appendicitis; Octogenarians
Yujin K, Heeseok C, Sunhee P. Single- Incision Laparoscopic Appendectomy (SILA) in Patients Aged Over 80 Years: A Single Centre Experience. Clin Surg. 2019; 4: 2509.