Revista Brasileira de Coloproctologia | |
Apendicectomia em pacientes com idade superior a 40 anos: análise dos resultados de 217 casos | |
Boursheid, Tania2  Rydygier, Ricardo1  Brenner, Antonio Sérgio1  Virmond Neto, Frederico2  Santin, Juliana2  Valarini, Rubens2  | |
[1] Faculdade Evangélica de Medicina do Paraná;Hospital Universitário Evangélico de Curitiba | |
关键词: appendicitis; appendectomy; aged; surgery INTRODUÇ Ã OA apendicite aguda é uma das patologias cirú rgicas mais freqü entes; | |
DOI : 10.1590/S0101-98802006000200003 | |
学科分类:心脏病和心血管学 | |
来源: Sociedade Brasileira de Coloproctologia | |
【 摘 要 】
INTRODUCTION: The low frequency of acute appendicitis in patients over 40 years old suggests that a better analysis is necessary.METHOD: We have made a Cohort in 1343 patients submitted to appendectomy from 2001 to 2005. Patients were divided in two groups: over (n = 217) and under (n = 1126) 40 years old. The Evangelico Hospital Colorectal Data Base was accessed to give surgical, histopathologic and clinical outcome.RESULTS: In the over 40 group, surgical findings demonstrated edematous appendicitis in 42.85% and suppuration in 26.72%. Median incision was used in 39.17% and the average hospital stay was 4.65 days. In the under 40 group, surgical findings demonstrated edematous appendicitis in 24.5% and suppuration in 32.6%. Median incision was used in 11.90% and average admission time was 3.35 days.CONCLUSION: Patients over 40 presented more complexes cases, probably because of the low suspicion index.
【 授权许可】
CC BY-NC
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