Annals of Coloproctology

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Original Articles

Clinical Characteristics and Surgical Safety in Patients with Acute Appendicitis Aged over 80: Kwon Sang Moon, Yong Hwan Jung, Eun Hun Lee, Yong Hee Hwang; J Korean Soc Coloproctol. 2012;28(2):94-99. Published online April 30, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.2.94

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4 Citations

Purpose

The aim of this study was to evaluate the clinical characteristics and treatment outcomes, including surgical safety, in patients over 80 years of age who underwent an appendectomy.

Methods

This study involved 160 elderly patients who underwent an appendectomy for acute appendicitis: 28 patients over 80 years old and 132 patients between 65 and 79 years old.

Results

The rate of positive rebound tenderness was significantly higher in the over 80 group (P = 0.002). Comparisons of comorbidity, diagnostic tool and delay in surgical treatment between the two groups were not statistically different. American Society of Anesthesiologists score was significantly higher in the over 80 group than in the 65 to 79 group (2.4 ± 0.5 vs. 1.6 ± 0.5; P < 0.00005). Comparisons of operative times and use of drainage between the two groups were not statistically different. In the pathologic findings, periappendiceal abscess was more frequent in the over 80 group (P = 0.011). No significant differences existed between the two groups when comparing the results of gas out and the time to liquid diet, but the postoperative hospital stay was significantly longer in the over 80 group (P = 0.001). Among the postoperative complications, pulmonary complication was significantly higher in the over 80 group (P = 0.005). However, operative mortality was zero in each group.

Conclusion

In case of suspicious appendicitis in elderly patients, efforts should be made to use aggressive diagnostic intervention, do appropriate surgery and prevent pulmonary complications especially in patients over 80 years of age.

Citations

Citations to this article as recorded by

Research Status and Progress of Laparoscopic Appendectomy
立民刘
Advances in Clinical Medicine.2025; 15(10): 2077. CrossRef
COVID-19-specific risk factor for early post-appendectomy complications (EPAC) in older patients: a retrospective study
Tamer A. A. M. Habeeb, A. Hussain, Jose Bueno-Lledó, M. E. Giménez, A. Aiolfi, M. Chiaretti, I. A. Kryvoruchko, M. N. Manangi, Abd Al-Kareem Elias, Abdelmonem A.M Adam, Mohamed A. Gadallah, Saad Mohamed Ali Ahmed, Ahmed Khyrallh, Mohammed H. Alsayed, Esma
Techniques in Coloproctology.2025;[Epub] CrossRef
Appendicitis
Paulina Salminen, Jussi Haijanen, Peter C. Minneci, Giana Hystad Davidson, Marja A. Boermeester, Ed Livingston, Roland E. Andersson, Kyoung Ho Lee, David Flum
Nature Reviews Disease Primers.2025;[Epub] CrossRef
Scheduled Surgery and Antibiotic Therapy in Catarrhal Acute Appendicitis
Rahantasoa Prudence, Rakotonaivo Judicael, Razafimandimby M., Rasoaherinomenjanahary Fanjandrainy, Samison Hervé
European Journal of Clinical and Biomedical Sciences.2024; 10(3): 38. CrossRef

Laparoscopic Versus Open Appendectomy for Appendicitis in Elderly Patients: Hyun Nam Baek, Yong Hwan Jung, Yong Hee Hwang; J Korean Soc Coloproctol. 2011;27(5):241-245. Published online October 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.5.241

6,790 View
55 Download
13 Citations

Abstract PDF

Purpose

The appendectomy is the most common emergent surgical procedure in elderly patients. The increasing number of elderly persons has been accompanied by an increase in the number of cases of acute appendicitis in the elderly. In order to understand the clinical significance of a laparoscopic appendectomy for elderly patients with appendicitis, we investigated the results of a laparoscopic appendectomy for treating patients over 60 years of age with appendicitis and compared them with the results for an open technique.

Methods

We studied retrospectively patients over 60 years of age who underwent an appendectomy with either a laparoscopic (LA) or open (OA) technique for appendicitis between July 2007 and December 2009. There were 30 patients in the LA group and 47 patients in the OA group. The demographic data, operative time, length of the hospital stay, bowel movement, pain control, cost, complications and pre-existing disease were assessed.

Results

There were no significant differences between the LA and the OA groups with respect to pre-existing diseases, gender, age, American Society of Anesthesiologists (ASA) score and the number of cases of complicated appendicitis, operative time, length of hospital stay, and times of analgesics use. However, the proportion of early gas out (within POD #2) was significantly greater in the LA group (80% vs. 57%, P < 0.05), and postoperative complications were significantly lower in the LA group (7% vs. 32%, P < 0.01). The costs for the two groups were not significantly different.

Conclusion

A laparoscopic appendectomy is a safe and effective procedure in elderly patients and is not associated with any increase in morbidity. It can be recommended for routine use in treating elderly patients with appendicitis.

Citations

Citations to this article as recorded by

Therapeutic effectiveness and influencing factors of laparoscopic appendectomy with mesoappendix dissection in the treatment of acute appendicitis
Jiang Yuan, Qiang Liu, Bo-Yu Wu
World Journal of Gastrointestinal Surgery.2025;[Epub] CrossRef
EAES/SAGES evidence-based recommendations and expert consensus on optimization of perioperative care in older adults
Deborah S. Keller, Nathan Curtis, Holly Ann Burt, Carlo Alberto Ammirati, Amelia T. Collings, Hiram C. Polk, Francesco Maria Carrano, Stavros A. Antoniou, Nader Hanna, Laure-Meline Piotet, Sarah Hill, Anne C. M. Cuijpers, Patricia Tejedor, Marco Milone, E
Surgical Endoscopy.2024; 38(8): 4104. CrossRef
Laparoscopic and robotic surgery for colorectal cancer in older patients: a systematic review and meta-analysis
Carlo Alberto Ammirati, Roberto Passera, Elsa Beltrami, Chiara Peluso, Nader Francis, Alberto Arezzo
Minimally Invasive Therapy & Allied Technologies.2024; 33(5): 253. CrossRef
The Role of Basic Laboratory Parameters in Diagnosing Acute Appendicitis and Determining Disease Severity in the Elderly
Mustafa Yeni, Rıfat Peksöz
Turkish Journal of Colorectal Disease.2022; 32(2): 110. CrossRef
Comparison of Postoperative Acute Kidney Injury Between Laparoscopic and Laparotomy Procedures in Elderly Patients Undergoing Colorectal Surgery
Shun Huang, Zheng Li, Nan Zou, Ting Dai, Xiang Long Cao, Zhe Jia, Wen Ping Peng, Ning Yang, Rui Fang Jia, Ming Zhang Zuo
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2021; 31(2): 160. CrossRef
GERİATRİK AKUT APANDİSİTLERİN TANI VE TEDAVİSİNDEKİ FARKLILIKLAR: TEK MERKEZ DENEYİMİ
Ahmet TÜRKAN, Ahmet ERDOĞAN, Uğur KILINÇ
Kırıkkale Üniversitesi Tıp Fakültesi Dergisi.2021; 23(1): 1. CrossRef
Acute Appendicitis in the Elderly: A Literature Review on an Increasingly Frequent Surgical Problem
Sintija Lapsa, Arturs Ozolins, Ilze Strumfa, Janis Gardovskis
Geriatrics.2021; 6(3): 93. CrossRef
Perforated vs. nonperforated acute appendicitis: evaluation of short-term surgical outcomes in an elderly population
Fabio Rondelli, Michele De Rosa, Paolo Stella, Marcello Boni, Graziano Ceccarelli, Ruben Balzarotti, Andrea Polistena, Alessandro Sanguinetti, Walter Bugiantella, Nicola Avenia
Minerva Chirurgica.2019;[Epub] CrossRef
Outcomes of appendectomy in elderly veteran patients
Oswaldo Renteria, Zain Shahid, Sergio Huerta
Surgery.2018; 164(3): 460. CrossRef
Independent Preoperative Predictors of Prolonged Length of Stay after Laparoscopic Appendectomy in Patients over 30 Years of Age: Experience from a Single Institution
Eric S. Wise, Stephen P. Gadomski, Annette M. Ilg, Camilo Bermudez, Emily W. Chan, Michelle L. Izmaylov, Samantha J. Gridley, Jessica V. Kaczmarek, Norman T. Melancon, Sarwat Ahmad, Kyle M. Hocking, Jose J. Diaz, Stephen M. Kavic
The American Surgeon™.2016; 82(11): 1092. CrossRef
Conventional Laparoscopic Appendicectomy and Laparoscope-Assisted Appendicectomy: a Comparative Study
Mayank Baid, Manoranjan Kar, Utpal De, Mrityunjay Mukhopadhyay
Indian Journal of Surgery.2015; 77(S2): 330. CrossRef
Acute appendicitis: position paper, WSES, 2013
Ferdinando Agresta, Luca Ansaloni, Fausto Catena, Luca Andrea Verza, Daniela Prando
World Journal of Emergency Surgery.2014;[Epub] CrossRef
Thirty-day outcomes of laparoscopic versus open appendectomy in elderly using ACS/NSQIP database
Ashkan Moazzez, Rodney J. Mason, Namir Katkhouda
Surgical Endoscopy.2013; 27(4): 1061. CrossRef

Clinical Significance of Perineal Descent in Pelvic Outlet Obstruction Diagnosed by using Defecography: Hyun Nam Baek, Yong Hee Hwang, Yong Hwan Jung; J Korean Soc Coloproctol. 2010;26(6):395-401. Published online December 31, 2010; DOI: https://doi.org/10.3393/jksc.2010.26.6.395

6,309 View
43 Download
17 Citations

Abstract PDF

Purpose

The aim of this study was to evaluate the clinical significance of perineal descent (PD) in pelvic outlet obstruction patients diagnosed by using defecography.

Methods

One hundred thirty-six patients with pelvic outlet obstruction (POO; median age 49 years) had more than one biofeedback session after defecography. Demographic finding, clinical bowel symptoms and anorectal physiological studies were compared for PD at rest and PD with dynamic changes.

Results

Age (r = 0.33; P < 0.001), rectocele diameter (r = 0.31; P < 0.01), symptoms of incontinence (P < 0.05) and number of vaginal deliveries (r = 0.46; P < 0.001) were correlated with increased fixed PD. However, the female gender (P < 0.005), rectal intussusceptions (P < 0.05), negative non-relaxing puborectalis syndrome (P < 0.00005) and rectocele (P < 0.0005) were correlated with increased dynamic PD. Duration of symptoms, number of bowel movements, history of pelvic surgery and difficult defecation were not related with PD. There was no significant correlation between fixed and dynamic PD and success of biofeedback therapy.

Conclusion

Age, vaginal delivery and diameter of the rectocele are associated with increased fixed PD. Female gender, rectal intussusceptions and a rectocele are correlated with increased dynamic PD. Biofeedback is an effective option for POO regardless of severity of PD.

Citations

Citations to this article as recorded by

Evaluation of Perineal Descent Measurements on Pelvic Floor Imaging
Isabelle M. A. van Gruting, Kirsten Kluivers, Aleksandra Stankiewicz, Joanna IntHout, Kim W. M. van Delft, Ranee Thakar, Abdul H. Sultan
Journal of Clinical Medicine.2025; 14(2): 548. CrossRef
Association of body composition with the symptoms of pelvic floor disorders in middle-aged women: a longitudinal study
Mari A. Kuutti, Enni-Maria Hietavala, Hanna-Kaarina Juppi, Sarianna Sipilä, Pauliina Aukee, Eija K. Laakkonen
Menopause.2025; 32(9): 810. CrossRef
Enhancing clinical practice: The role of digital rectal examination in diagnosing functional defecation disorders
Lian-Jun Zhu, Xing-Lin Zeng, Xiang-Dong Yang
World Journal of Gastrointestinal Surgery.2025;[Epub] CrossRef
Transverse perineal support improves long-term outcomes in patients undergoing stapled transanal rectal resection for obstructed defecation syndrome: a multicenter observational case-control study
Adolfo Renzi, Luigi Marano, Pasquale Talento, Luigi Brusciano, Angela Pezzolla, Domenico Izzo, Carmine Antropoli, Francesco D’Aniello, Giandomenico Di Sarno, Gianluca Minieri, Grazia Cantore, Gianmattia Terracciano, Domenico Barbato, Ludovico Docimo, Mass
Annals of Coloproctology.2025; 41(4): 330. CrossRef
Rectal prolapse (62.2, 62.3), adults
Yu. A. Shelygin, S. I. Achkasov, D. V. Alyoshin, O. M. Biryukov, V. S. Groshilin, V. N. Kashnikov, I. V. Kostarev, N. V. Kostenko, A. I. Moskalev, A. A. Mudrov, A. V. Muravyov, N. V. Oleinik, V. V. Polovinkin, V. M. Тimerbulatov, A. Yu. Titov, O. Yu. Fome
Koloproktologia.2024; 23(3): 10. CrossRef
Rectal prolapse (62.2, 62.3), adults
Yu. A. Shelygin, S. I. Achkasov, D. V. Alyoshin, O. M. Biryukov, V. S. Groshilin, V. N. Kashnikov, I. V. Kostarev, N. V. Kostenko, A. I. Moskalev, A. A. Mudrov, A. V. Muravyov, N. V. Oleinik, V. V. Polovinkin, V. M. Тimerbulatov, A. Yu. Titov, O. Yu. Fome
Koloproktologia.2024; 23(3): 10. CrossRef
The role of obesity on urinary incontinence and anal incontinence in women: a review
SK Doumouchtsis, J Loganathan, V Pergialiotis
BJOG: An International Journal of Obstetrics & Gynaecology.2022; 129(1): 162. CrossRef
The Digital Rectal Examination
Gregory S. Sayuk
Gastroenterology Clinics of North America.2022; 51(1): 25. CrossRef
Consensus Definitions and Interpretation Templates for Fluoroscopic Imaging of Defecatory Pelvic Floor Disorders
Ian Paquette, David Rosman, Rania El Sayed, Tracy Hull, Ervin Kocjancic, Lieschen Quiroz, Susan Palmer, Abbas Shobeiri, Milena Weinstein, Gaurav Khatri, Liliana Bordeianou
Techniques in Coloproctology.2021; 25(1): 3. CrossRef
Consensus Definitions and Interpretation Templates for Fluoroscopic Imaging of Defecatory Pelvic Floor Disorders
Ian Paquette, David Rosman, Rania El Sayed, Tracy Hull, Ervin Kocjancic, Lieschen Quiroz, Susan Palmer, Abbas Shobeiri, Milena Weinstein, Gaurav Khatri, Liliana Bordeianou
Diseases of the Colon & Rectum.2021; 64(1): 31. CrossRef
Consensus Definitions and Interpretation Templates for Fluoroscopic Imaging of Defecatory Pelvic Floor Disorders Proceedings of the Consensus Meeting of the Pelvic Floor Consortium of the American Society of Colon and Rectal Surgeons, the Society of Abdom
Ian Paquette, David Rosman, Rania El Sayed, Tracy Hull, Ervin Kocjancic, Lieschen Quiroz, Susan Palmer, Abbas Shobeiri, Milena Weinstein, Gaurav Khatri, Liliana Bordeianou
Female Pelvic Medicine & Reconstructive Surgery.2021; 27(1): e1. CrossRef
European society of neurogastroenterology and motility guidelines on functional constipation in adults
Jordi Serra, Daniel Pohl, Fernando Azpiroz, Giuseppe Chiarioni, Philippe Ducrotté, Guillaume Gourcerol, A. Pali S. Hungin, Peter Layer, Juan‐Manuel Mendive, Johann Pfeifer, Gerhard Rogler, S. Mark Scott, Magnus Simrén, Peter Whorwell
Neurogastroenterology & Motility.2020;[Epub] CrossRef
Pathophysiology of the functional constipation in elderly
Michael D. Levin
Pelviperineology.2019; : 53. CrossRef
Systematic review with meta‐analysis: defecography should be a first‐line diagnostic modality in patients with refractory constipation
Ugo Grossi, Gian Luca Di Tanna, Henriette Heinrich, Stuart A. Taylor, Charles H. Knowles, S. Mark Scott
Alimentary Pharmacology & Therapeutics.2018; 48(11-12): 1186. CrossRef
Defecatory Dysfunction and the Pelvic Floor
Ajay Rane, Sapna Dilgir
Current Obstetrics and Gynecology Reports.2017; 6(3): 237. CrossRef
Defecographic Findings in Patients with Severe Idiopathic Chronic Constipation
Rahmatollah Rafiei, Azadeh Bayat, Masoud Taheri, Zahra Torabi, Lotfollah Fooladi, Saideh Husaini
The Korean Journal of Gastroenterology.2017; 70(1): 39. CrossRef
Descending perineum syndrome: a review of the presentation, diagnosis, and management
Zaid Chaudhry, Christopher Tarnay
International Urogynecology Journal.2016; 27(8): 1149. CrossRef

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