关键词: 阑尾炎, 腹腔镜, 手术

Abstract: Objective To compare the advantages and disadvantages of laparoscopic versus open appendectomy in aged patients with acute appendicitis. Methods 83 patients were divided into laparoscopic group (n=43) and open appendectomy grup (n=40) according to individual willing. Prospective non-randomized study was performed to compare the operative time, operative bleeding, recovery period, bowel exhaust time, hospitalizition time, anesthetic usage rate and wound infection rate. Results There were significant differences between laparoscopic group and open appendectomy group in these indexes except the operative bleeding(P<0.05). Conclusion The laparoscopic appendectomy possesses more advantages in treating aged patients with acute appendicitis and can decrease hospitalization time. It should be applicated and popularized in basic hospita1.

Key words: Appendicitis, Laparoscopy, Operation