CHOOSING A METHOD OF SURGICAL TREATMENT OF ACUTE APPENDICITIS IN PATIENTS WITH CONCOMITANT PULMONARY PATHOLOGY

  • Y. Hasan
  • I. E. Borodayev
  • V. V. Kolodiy
  • V. N. Kachanov
  • V. B. Volkov
Keywords: acute appendicitis, appendectomy, pulmonary pathology, laparoscopy.

Abstract

Summary. The article analyzes the experience of using endovideosurgical method of treatment of patients with АA with pulmonary pathology, determines the indications for the use of different methods of applying pneumoperitoneum when performing laparoscopic appendectomy (LA).

Material and method. The result of treatment of 46 patients with acute appendicitis (АA) and concomitant pulmonary pathology in the last 5 years is given. Group I included 14 patients diagnosed with AA with concomitant pulmonary pathology who underwent open appendectomy, and II — 32 patients with a diagnosis of AA with concomitant pulmonary pathology, who underwent laparoscopic appendectomy with the imposition of pneumoperitoneum and metaphormia.

Result. The evaluation of the treatment of 32 patients (84.8 %) with concomitant pulmonary pathology performed by LA, which allowed to dramatically reduce the number of complications from the abdominal organs, as well as to reduce the frequency of decompensation of concomitant pulmonary pathologies.

Conclusions. Performing a laparolifting laparoscopic appendectomy is the optimal method for patients at high risk for cardiopulmonary disease.

References

Abdullaev EG, Babyshkin VV, Durymanov OV. Experience of using laparoscopic technologies in the treatment of destructive appendicitis// Abdullaev EG, Babyshkin VV, Durymanov OV. - Endoskopicheskaya khirurgiya, 1999-№ 4.-Р. 54–55.
Centers for Disease Control and Prevention. National Center for Health Statistics. National Health Interview Survey Raw Data// Analysis performed by the American Lung Association Research and Health Education Division Using SPSS and SUDAAN Software, 2011.
Speicher PJ, Ganapathi AM, Englum BR, Vaslef SN. Laparoscopy is safe among patients with congestive heart failure undergoing general surgery procedures//Speicher PJ, Ganapathi AM, Englum BR.- Surgery, 2014.- Т156(2). - Р. 371–378.
Celli BR, MacNee W. ATS/ERS Task Force. Standards for the diagnosis and treatment of patients with COPD: A summary of the ATS/ERS position paper// Celli BR, MacNee W- Eur Respir J, 2004.- Р.23–26.
Department of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taiwan. Laparoscopic cholecystectomy for patients with chronic obstructive pulmonary disease// Journal of Laparoendoscopic & Advanced Surgical Techniques, 2003.- Т. 13(1).- Р.5-9.
Published
2020-02-20
How to Cite
Hasan, Y., Borodayev, I. E., Kolodiy, V. V., Kachanov, V. N., & Volkov, V. B. (2020). CHOOSING A METHOD OF SURGICAL TREATMENT OF ACUTE APPENDICITIS IN PATIENTS WITH CONCOMITANT PULMONARY PATHOLOGY. Kharkiv Surgical School, (1), 165-168. https://doi.org/10.37699/2308-7005.1.2020.28
Section
QUESTIONS OF GASTROINTESTINAL TRACT