Research Progress on Surgical Treatment of Elderly Obese Patients with Acute Appendicitis

Abstract

Acute appendicitis is a common acute suppurative infectious disease in clinical practice. It is one of the common diseases that induce acute abdominal pain and require surgical treatment. It is a common acute abdomen in general surgery. Its incidence rate ranks first among all acute abdominal diseases, and it is as high as 10% in Western countries. The incidence rate in China is 4% to 8.5%. Acute appendicitis has the characteristics of acute onset, rapid disease progression, and severe symptoms. Sustained and exacerbating paroxysmal right lower quadrant pain is a typical symptom. Strong pain can be felt when pressing the appendix point, accompanied by vomiting, nausea, low-grade fever and other clinical symptoms. If not treated in time, appendiceal abscess and perforation can easily occur, causing sepsis, multiple organ dysfunction and other serious complications, thus posing a serious threat to the patient’s life and health. Clinically, laparoscopic surgery and open surgery are commonly used for acute appendicitis surgery. This study aims to compare the clinical effects of open appendectomy and laparoscopic appendectomy in elderly obese patients with acute appendicitis, summarize how to improve their condition and prognosis, and can further improve patient safety.