Apendicectomia em pacientes com idade superior a 40 anos: análise dos resultados de 217 casos

Revista Brasileira de Coloproctologia

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