Akademik Veri Yönetim Sistemi
International Journal of Gastroenterology and Hepatology, cilt.5, sa.4, ss.1-5, 2024 (Hakemli Dergi)
1. Abstract 1.1. Background: In this study, we aimed to compare the intraoperative and postoperative outcomes of elderly patients undergoing laparoscopic or open appendectomy for acute appendicitis. 1.2. Materials and methods: Between March 2018 and March 2022, 67 patients (aged ≥ 65 years) underwent laparoscopic or open appendectomy for acute appendicitis were analyzed retrospectively. Demographic, laboratory data, and postoperative outcomes were examined. Normality analysis was performed for the groups. Data were analyzed using Mann-Whitney U and Pearson chisquare tests. P<0.05 was considered statistically significant and 50.7% of the patients were female. Laparoscopic appendectomy was performed in 50.7% of the patients. It was noted that 52.2% of the population had complicated findings in perioperative assessments. While the operation times were shorter in the open appendectomy group with a statistically significant difference (p = 0.007), there was no significant difference between the groups in terms of postoperative complications (p = 0.461), hospitalization times (p = 0.238) and mortality. However, postoperative complication rates (p=0.040) and length of hospital stay (p=0.027) were longer in patients with complicated appendicitis undergoing laparoscopic appendectomy. 1.4. Conclusion: It was observed that there was no difference between surgical technique and postoperative outcomes of patients. However, in patients with complicated appendicitis, we recommend that the open technique be preferred, which is superior to laparoscopic appendectomy in terms of postoperative results.