Laparoscopic appendectomy provides better outcomes than open appendectomy in elderly patients

Shih Chi Wu, Yu Chun Wang, Chih Yuan Fu*, Ray Jade Chen, Hung Chang Huang, Jui Chien Huang, Chih Wei Lu, Chi Hsun Hsieh, Chia Yun Lin

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

16 Scopus citations


The incidence of acute appendicitis in elderly patients is increasing due to prolonged life span. The associated morbidity and mortality related to perforation of acute appendicitis continue to present challenges to physicians. The role of laparoscopic appendectomy is still controversial. This study aimed to compare the postoperative outcomes of elderly patients who received either a laparoscopic or an open appendectomy. We retrospectively reviewed charts of patients with acute appendicitis between January 2005 and February 2009. Elderly patients who received laparoscopic or open appendectomies were enrolled. The demographics, preoperative condition, operating time, intraoperative blood loss, and postoperative course were analyzed. A total of 150 patients were enrolled in this study. On average, patients who received a laparoscopic appendectomy had fewer hospital days and lower rates of postoperative ventilator dependence than patients who received an open appendectomy. In the management of elderly patients with acute appendicitis, laparoscopic appendectomy provides better outcomes than open appendectomy.

Original languageEnglish
Pages (from-to)466-470
Number of pages5
JournalAmerican Surgeon
Issue number4
StatePublished - 04 2011
Externally publishedYes


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