THE PECULIARITY OF PERFORMING APPENDECTOMY IN ELDERLY PATIENTS WITH A HIGH RISK OF CARDIOPULMONARY INSUFFICIENCY

Abstract

In the surgical clinic of the Department of Surgery No. 2 of ONMU,at the last 7 years, patients of elderly age groups with a diagnosis of acute appendicitis with concomitant pulmonary pathology have been treated with using the method of laparoscopic appendectomy, where the surgical intervention was performed according to two methods: with the imposition of pneumoperitoneum and with the imposition of laparolifting in view of severe cardiopulmonary pathology, where the imposition of pneumoperitoneum was dangerous. As a result, laparoscopic appendectomy can reduce the number of complications from the abdominal organs in elderly patients with cardiopulmonary pathology (the formation of postoperative ventral hernias), as well as reduce the frequency of decompensation of concomitant COPD. The use of laparoscopic appendectomy makes it possible to significantly reduce the body’s response to stress from pain and surgical trauma and is an important part of the formation of the general condition of the patient. It was also concluded that the comprehensive surgical treatment for acute appendicitis with the use of non-invasive techniques allows to shorten the duration of hospital stay (4.62 ± 0.77 days) and to reduce the period of disability. The method of minimally invasive surgical interventions can be considered a gold standard for providing medical care to the patients with urgent surgical diseases of the abdominal cavity, which provides an optimal approach to surgical treatment. Key words: acute appendicitis, appendectomy, cardiopulmonary failure, laparoscopy.