tailieunhanh - Evaluating the results of laparoscopic surgery in the treatment of total appendicitis peritonitis at 115 people’s hospital

Objectives: To evaluate safety, feasibility and result of laparoscopic surgery in management of total appendicitis peritonitis. Subjects and methods: A prospective observational study on 82 patients with appendicitis peritonitis who were performed by laparoscopic surgery at 115 People’s Hospital from 1th January 2011 to 31th December 2016. | Journal of military pharmaco-medicine no8-2018 EVALUATING THE RESULTS OF LAPAROSCOPIC SURGERY IN THE TREATMENT OF TOTAL APPENDICITIS PERITONITIS AT 115 PEOPLE’S HOSPITAL Nguyen Quang Huy1; Vu Huy Nung2; Van Tan1 SUMMARY Objectives: To evaluate safety, feasibility and result of laparoscopic surgery in management of total appendicitis peritonitis. Subjects and methods: A prospective observational study on 82 patients with appendicitis peritonitis who were performed by laparoscopic surgery at th th 115 People’s Hospital from 1 January 2011 to 31 December 2016. Results: The rate of farting time over 72 hours was . The mean hospital stay was ± days. The rate of postoperative complication was , including five cases of paralytic intestine, two cases of wound infection and one case of post-operative intra-abdominal abscess. The general result of surgery was excellent (), good (), fair () and poor (0%). Conclusion: Laparoscopic surgery for total appendicitis peritonitis was safe, efficacious and feasible and could be widely applied. * Keywords: Appendicitis peritonitis; Laparoscopic surgery. INTRODUCTION In Vietnam, the proportion of acute appendicitis occupied from 40 to 45% in emergent operations [1]. Acute appendicitis complicated exclusively with peritonitis (ACP) accounts for 10 to 20%. Laparoscopic surgery is a good choice for management of this disease. We studied this topic aiming: To evaluate the results of laparoscopic surgery for the treatment of appendicitis peritonitis in terms of the safety, efficacy and feasibility of the procedure. SUBJECTS AND METHODS 1. Subjects. 82 patients (male: 49 cases, female: 33 cases) with the ages from 16 to 95 years old. Mean age was ± . All patients were diagnosed ACP and treated by laparoscopic surgery at 115 People’s Hospital from 1th January 2011 to 31th December 2016. 2. Methods. Prospective observative and descriptive clinical study. * Selective criteria: Patients with appendicitis