대한대장항문학회

This report is a clinical review of 111 patients over the age of sixty who underwent<br>appendectomy due to acute appendicitis in Dept. of General Surgery of Dong-Guk<br>University College of Medicine from January, 1987 to April, 1992.<br>The results were as follows:<br>1) of 1506 patients with acute appendicitis, 111 cases(7.37%) were acted over 60 years<br>old.<br>2) Male to female sex ratio was 1 : 1.92.<br>3) The duration of symptoms varied greatly, and was related to outcome. The mean<br>duration was 1.81 days.<br>4) On admission, the most common symptoms and physical findings were right lower<br>quadrant pain in 66.7%, nausea in 56.7%, right lower Quadrant tenderness in 79.2%,<br>rebound tenderness in 64.8%.<br>5) Leukocytosis(10,000/mm<sup>3</sup>) on admission was present in 68.5% of<br>patient. But, 54.1% patient had a temperature below 37℃.<br>6) 61 cases(55%) were Perforated and 6 cases revealed generalized peritonitis.<br>7) The abdomen was entered mainly through Rockey-Davis incision (66.7%) and<br>McBurney incision(11.7%), right lower paramedian incision(15.3%). Operation method was<br>appendectomy in 61.3%, appendectomy with drainage in 31.5%.<br>8) The postoperative compication was occurred in 31.5% of patients and the most<br>common complication was immediate postoperative Partial ileum(15 cases) and wound<br>infection(14 cases)<br>9) 63 cases(56.8%) were accompanied with concomitant diseases.<br>10) The average hospital day was 9.6 day. (8.2 day in nonperforated cases, 10.8 day<br>in perforated cases).<br>