ĐÁNH GIÁ KẾT QUẢ SỚM PHẪU THUẬT CẮT RUỘT THỪA VIÊM TẠI VIỆN Y HỌC HẢI QUÂN

Abstract

Objectives: To describe the morphological characteristics and evaluate the early outcomes of surgical management for acute appendicitis at the Naval Medical Institute. Methods: A retrospective and prospective, descriptive study was conducted on 203 patients diagnosed with acute appendicitis who underwent surgery at the Department of General Surgery and Obstetrics-Gynecology, Naval Medical Institute, from January 2020 to July 2025. Results: The median age was 35 (24 - 52) years, with males accounting for 65% of cases. The median time from symptom onset to hospital admission was 15 (10 - 24) hours. Most patients had uncomplicated acute appendicitis (95.5%). The median operative time was 60 (50 - 90) minutes, and the median time to bowel function recovery was 2 (1 - 2) days. Postoperative complications occurred in 3% of cases. Good early outcomes were achieved in 96.1% of patients. Multivariate logistic regression analysis showed that prolonged operative time (OR = 1.042; p = 0.009) and complicated acute appendicitis (OR = 19.79; p = 0.025) were associated with poorer treatment outcomes. Conclusion: Acute appendicitis mainly occurred in adults, and most cases were diagnosed at the uncomplicated stage. Laparoscopic appendectomy was the main surgical approach for acute appendicitis at the Naval Medical Institute, demonstrating high safety, efficacy, a low complication rate, and favorable early treatment outcomes.