ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ VIÊM PHÚC MẠC RUỘT THỪA BẰNG PHẪU THUẬT NỘI SOI TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ NĂM 2020-2021

Abstract

Background: The rate of appendiceal peritonitis in Can Tho General Hospital in 2019 was 73%. Hyperbilirubinaemia is frequently associated with appendicitis. Elevated bilirubin levels have a predictive potential for the diagnosis of appendiceal perforation Objectives: This study was conducted to determine the clinical and subclinical features of appendiceal peritonitis and to evaluate treatment outcomes of laparoscopic appendectomy for appendiceal peritonitis in Can Tho General Hospital from 2020 to 2021. Materials and methods: All data of patients with appendiceal peritonitis underwent laparoscopic appendectomy were collected and analyzed with cross-sectional descriptive method. Results: 45 patients underwent laparoscopic appendectomy for appendiceal peritonitis were included in the study. The ratio of females and males was 1.14. The median age was 55.02 ± 16.9. The average time from the onset to the admission was 31.8 ± 17.8 hours, 100% of patients had abdominal pain and abdominal guarding, vomiting and diarrhea accounted for 17.6% and 13.2%, respectively. The rate of identification of appendicitis on ultrasound was 81.2%. In addition, abdominal CT scan was 100% accurate in diagnosing appendicitis. Total hyperbilirubinemia was found in 42.9% of cases, and direct hyperbilirubinemia in 28.6% of patients. Furthermore, no correlation between total hyperbilirubinemia and leukocytosis was found. The first postoperative flatus was recorded in majority of patients after 24 hours and wound infection was detected in 6.6% of patients. Conclusions: 100% of patients with appendiceal peritonitis had abdominal pain and abdominal guarding. Hyperbilirubinemia was found in 42.9% of cases and laparoscopic appendectomy is a safe and effective procedure for appendiceal peritonitis.