2009
DOI: 10.1007/s00268-008-9916-y
|View full text |Cite
|
Sign up to set email alerts
|

Value of Laparoscopic Appendectomy in the Elderly Patient

Abstract: Laparoscopic appendectomy is safe in the elderly population and is not associated with any increase in morbidity. The high incidence of complicated appendicitis in elderly patients affects operative time and length of hospital stay following laparoscopic appendectomy, and it can also lead to an increased rate of conversion to an open procedure. Use of preoperative abdominal computerized tomography scan is mandatory in elderly patients to provide an early diagnosis and to decrease unnecessary surgical explorati… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1

Citation Types

2
32
1
5

Year Published

2009
2009
2017
2017

Publication Types

Select...
7
2
1

Relationship

0
10

Authors

Journals

citations
Cited by 51 publications
(40 citation statements)
references
References 28 publications
2
32
1
5
Order By: Relevance
“…Second, a greater number of patients underwent appendectomy by laparoscopy at the private hospital than at the public hospital. Laparoscopic appendectomy is associated with less delay in resuming routine activities and return to work when compared to open (conventional) appendectomy [32][33][34][35] . Findings of this study may provide data to improve and optimize treatment of patients with acute appendicitis in public hospitals.…”
Section: Discussionmentioning
confidence: 99%
“…Second, a greater number of patients underwent appendectomy by laparoscopy at the private hospital than at the public hospital. Laparoscopic appendectomy is associated with less delay in resuming routine activities and return to work when compared to open (conventional) appendectomy [32][33][34][35] . Findings of this study may provide data to improve and optimize treatment of patients with acute appendicitis in public hospitals.…”
Section: Discussionmentioning
confidence: 99%
“…15,16 The LA is generally agreed to have better aesthetic effects and shorter hospitalization as compared with the OA. On the other hand, the operative time, postoperative complications, and the conversion to OA during LA have been pointed out as potential drawbacks.…”
Section: Discussionmentioning
confidence: 99%
“…Antibiotic therapy alone has not proven superior to surgery for the treatment of appendicitis (LE 1a) due to the higher rate of readmission and surgery in the first year [97]. LA can be considered the gold standard in premenopausal women (LE 1a) [98], and it is feasible in the elderly (LE 3) [99] and the obese (LE 3) [100], but in men LA has no advantages compared with open appendectomy (OA) (LE 1b) [101]. Complicated appendicitis can be approached laparoscopically, with significant improvement of the surgical site (SS) infection rate (a minor advantage according to Clavien's criteria) (LE 3a) [102,103].…”
Section: Acute Appendicitismentioning
confidence: 99%