Odessa National Medical University, Odesa Ukraine
Odessa Regional Clinical Medical Centre, Odesa Ukraine
DOI 10.54229/2226-2008-2022-1-2-4
In the surgical clinic of the Department of Surgery No. 2 of ONMU,at the last 7 years, patients of elderly age groups with a diagnosis of acute appendicitis with concomitant pulmonary pathology have been treated with using the method of laparoscopic appendectomy, where the surgical intervention was performed according to two methods: with the imposition of pneumoperitoneum and with the imposition of laparolifting in view of severe cardiopulmonary pathology, where the imposition of pneumoperitoneum was dangerous. As a result, laparoscopic appendectomy can reduce the number of complications from the abdominal organs in elderly patients with cardiopulmonary pathology (the formation of postoperative ventral hernias), as well as reduce the frequency of decompensation of concomitant COPD. The use of laparoscopic appendectomy makes it possible to significantly reduce the body’s response to stress from pain and surgical trauma and is an important part of the formation of the general condition of the patient. It was also concluded that the comprehensive surgical treatment for acute appendicitis with the use of non-invasive techniques allows to shorten the duration of hospital stay (4.62 ± 0.77 days) and to reduce the period of disability. The method of minimally invasive surgical interventions can be considered a gold standard for providing medical care to the patients with urgent surgical diseases of the abdominal cavity, which provides an optimal approach to surgical treatment.
Key words: acute appendicitis, appendectomy, cardiopulmonary failure, laparoscopy.
REFERENCES
- Mykhailovych VV, Matviychuk OB, Bogutskyi IYa. Acute appendicitis and its complications. Lviv: Triada-Plus. 2011; 154 (in Ukrainian).
- Dubois L, Vogt KN, Davies W, Schlachta CM. Impact of an outpatient appendectomy protocol on clinical outcomes and cost: a case-control study. J Am Coll Surg. 2010. Vol. 211; № 6: 731–737.
- Brügger L, Rosella L, Candinas D, Güller U. Improving outcomes after laparoscopic appendectomy: a population-based, 12-year trend analysis of 7446 patients. Ann Surg. 2011; 253. 2: 309–313.
- Laparoscopic versus conventional appendectomy – a meta-analysis of randomized controlled trials / X. Li et al. BMC Gastroenterol. 2010; 10: 129.
- Cash C, Frazee R. Improvements in laparoscopic treatment for complicated appendicitis. J Laparoendosc Adv Surg Tech A. 2012; 22. 6: 581–583.
- The BASE-FIRST technique in laparoscopic appendectomy / G. Piccinni et al. J Minim Access Surg. 2012; 8. 1: 6–8.
- Delibegovic S. Acute Appendicitis: Diagnosis and Treatment with Special Attention to a Laparoscopic Approach. Emerg. Med. 2015; 5. 3.