Vigil Escalera Bejarano Maria, Gallardo-Navarro Elias, Gomez López José Manuel, Tirado Cortes Aldo Alejandro
Department of General Surgery, Hospital Español, Mexico City, MEX.
Cureus. 2025 May 3;17(5):e83431. doi: 10.7759/cureus.83431. eCollection 2025 May.
Objective The objective of this study is to analyze and describe the relationship between patient age and the severity of acute appendicitis across its different stages, with the aim of stratifying the risk of post-surgical complications. Methods This retrospective, descriptive, observational study was conducted at a single center. A total of 106 patients underwent laparoscopic appendectomy over a period of two years. The variables analyzed included sex, age, Robbins stages, the presence of comorbidities, length of hospital stay, drainage use, and the presence of complications during hospitalization. Results A total of 106 patients underwent surgery, of which 49 (46.2%) were women and 57 (53.7%) were men. The mean age was 40 years, with a range from 13 to 80 years. The mean length of hospital stay was one day, ranging from zero to nine days. According to Robbins stages, 17.9% of patients (19) had stage IV acute appendicitis, 19.8% (21) had stage III, 57.6% (61) had stage II, and 4.7% (five) had stage I. Among the 106 patients, 37.7% (40) required drain placement during surgery, while 62.3% (66) did not. There was one complication (0.9%), a death due to septic shock secondary to generalized peritonitis. The comorbidities observed in the population included hypertension in 14 patients (13.2%), diabetes in 15 (14.2%), hypothyroidism in 12 (11.3%), and heart failure in five (4.7%). Conclusions A potential relationship between patient age and the severity of acute appendicitis was observed. Older patients tend to present with more advanced stages of the disease. Early diagnosis and surgical intervention are particularly beneficial for older patients, reducing the risk of complications.
目的 本研究的目的是分析和描述患者年龄与不同阶段急性阑尾炎严重程度之间的关系，旨在对术后并发症风险进行分层。方法 本回顾性、描述性、观察性研究在单一中心进行。在两年时间里，共有106例患者接受了腹腔镜阑尾切除术。分析的变量包括性别、年龄、罗宾斯分期、合并症的存在、住院时间、引流使用情况以及住院期间并发症的发生情况。结果 共有106例患者接受了手术，其中49例（46.2%）为女性，57例（53.7%）为男性。平均年龄为40岁，范围为13至80岁。平均住院时间为1天，范围为0至9天。根据罗宾斯分期，17.9%的患者（19例）患有IV期急性阑尾炎，19.8%（21例）患有III期，57.6%（61例）患有II期，4.7%（5例）患有I期。在106例患者中，37.7%（40例）在手术期间需要放置引流管，而62.3%（66例）不需要。有1例并发症（0.9%），即因弥漫性腹膜炎继发感染性休克死亡。在该人群中观察到的合并症包括14例（13.2%）高血压、15例（14.2%）糖尿病、12例（11.3%）甲状腺功能减退和5例（4.7%）心力衰竭。结论 观察到患者年龄与急性阑尾炎严重程度之间存在潜在关系。老年患者往往表现为疾病的更晚期阶段。早期诊断和手术干预对老年患者特别有益，可降低并发症风险。
