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  • February 2007

    Benefits of CT for Elderly Patients with Appendicitis

    Surgical Endoscopy | C. Parenjape et al.

    Article:

    Appendicitis in the Elderly: a Change in the Laparoscopic Era

    Authors:

    C. Paranjape; S. Dalia; J. Pan; M. Horattas

    Journal:

    Surgical Endoscopy, 2007

    Summary:

    Appendicitis in elderly patients is associated with significant morbidity and mortality. Early and correct diagnosis together with minimally invasive surgery can lead to more favorable outcomes than occurred in the prelaparoscopic era.

    A retrospective review of 116 elderly patients from 1999 to 2004 was compared with the authors’ previously published studies from 1978 to 1988 and from 1988 to 1998, respectively.

    Computed tomography (CT) scanning was found to be more accurate in the current study and more routinely used. The patients in the current series had more correct preoperative diagnoses. Perforated appendicitis was encountered less frequently and associated with fewer complications. The 4% mortality rate in the previous two series decreased to less than 1% in this series.

    Researchers concluded that minimally invasive surgery combined with increased use and accuracy of preoperative CT scans has changed the clinical management of acute appendicitis in elderly patients, leading to decreased lengths of stay, decreased mortality, and more favorable outcomes.

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