Single-Incision Laparoscopic Appendectomy (SILA) in Patients Aged Over 80 Years: A Single Centre Experience

Kim Yujin, Chung Heeseok and Park Sunhee

Department of Family Medicine, Gwangju Veterans Hospital, South Korea
Department of Surgery, Gwangju Veterans Hospital, South Korea
Department of Pharmacy, Chosun University Hospital, South Korea
Department of Clinical Pharmacy, Chosun University, South Korea

^*Correspondance to: Park Sunhee 

 PDF  Full Text DOI: 10.25107/2474-1647.2509

Abstract

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.

Keywords

Single-incision laparoscopic surgery; Laparoscopic appendectomy; Super-elderly patient; Acute appendicitis; Octogenarians

Cite the article

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.