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Interval appendectomy in the laparoscopic era.

D B Nguyen1, W Silen, R A Hodin

  • 1Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215, USA.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
|August 24, 1999
PubMed
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Interval laparoscopic appendectomy (ILA) is a safe and effective outpatient procedure for periappendiceal masses, offering shorter hospital stays and quicker recovery than open appendectomy.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Abdominal Surgery

Background:

  • Periappendiceal masses often improve with antibiotics and drainage.
  • The role of interval appendectomy after initial treatment remains debated.
  • Laparoscopic versus open approaches for interval appendectomy have not been extensively compared.

Purpose of the Study:

  • To compare the outcomes of interval laparoscopic appendectomy (ILA) and interval open appendectomy (IOA).
  • To evaluate the safety, efficacy, and recovery associated with ILA.
  • To assess trends in the management of periappendiceal masses over a decade.

Main Methods:

  • Retrospective review of 56 patients who underwent interval appendectomy for periappendiceal mass or abscess.
  • Comparison of data between two time periods (1987-1993 and 1994-1997).

Related Experiment Videos

  • Analysis of patient characteristics, initial hospitalization, operative details, and follow-up outcomes.

    • Main Results:

    • The use of interval laparoscopic appendectomy increased significantly from 30% to 85%.
    • Interval laparoscopic appendectomy resulted in a shorter hospital stay (0.55 days vs. 3.07 days) and outpatient procedures became more common.
    • No significant differences in operating room time or infection rates were observed between ILA and IOA.

    Conclusions:

    • Interval laparoscopic appendectomy is a safe, simple, and effective procedure with minimal morbidity.
    • ILA is often suitable for outpatient management, leading to faster return to activities.
    • Consideration of ILA for most patients with periappendiceal masses is recommended.