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Laparoscopic appendectomy is feasible for the complicated appendicitis.

K J Kang1, T J Lim, Y S Kim

  • 1Department of Surgery, Keimyung University, Dong-San Medical Center, Taegu, Korea. kjkang@dsmc.or.kr

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|January 9, 2001
PubMed
Summary

Laparoscopic appendectomy (LA) is a safe and effective treatment for acute appendicitis, including perforated cases. This study found LA to be well-tolerated with low complication rates.

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Area of Science:

  • Surgical Gastroenterology
  • Minimally Invasive Surgery
  • Emergency Medicine

Background:

  • Acute appendicitis remains a common surgical emergency.
  • Laparoscopic appendectomy (LA) offers potential advantages over open surgery.
  • The efficacy of LA in complicated cases, such as perforated appendicitis, requires evaluation.

Purpose of the Study:

  • To assess the advantages and safety of laparoscopic appendectomy (LA) for acute appendicitis.
  • To specifically evaluate the outcomes of LA in patients with perforated appendicitis.

Main Methods:

  • Retrospective review of 339 consecutive laparoscopic appendectomies (LA).
  • Comparison with 49 open appendectomies performed between March 1994 and June 1996.
  • Detailed analysis of 27 LA cases involving perforated appendicitis.

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Main Results:

  • Mean operating time for LA was 48.9 minutes.
  • Conversion to open surgery occurred in 1.8% of LA cases.
  • Minor complications were observed in 2.4% of LA patients; no complications in perforated cases.

Conclusions:

  • Laparoscopic appendectomy (LA) is a safe and acceptable procedure for acute appendicitis.
  • LA demonstrates promising results even in cases of perforated appendicitis.
  • Further experience with LA in perforated appendicitis is warranted.