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[Open versus laparoscopic operation for perforated appendicitis--a comparative study].

M Kapischke1, K Bley, J Tepel

  • 1Chirurgische Klinik des Friedrich Ebert Krankenhauses, Neumünster. mkapischke@web.de

Zentralblatt Fur Chirurgie
|April 26, 2005
PubMed
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Laparoscopic appendectomy for complicated appendicitis is safe and effective. It resulted in a significantly lower complication rate and shorter hospital stays compared to open surgery.

Area of Science:

  • General Surgery
  • Minimally Invasive Surgery

Background:

  • The efficacy of laparoscopic versus open appendectomy for complicated appendicitis remains debated.
  • This study retrospectively analyzed clinical outcomes from a single center.

Purpose of the Study:

  • To compare the clinical results of open and laparoscopic appendectomy in patients with complicated appendicitis.

Main Methods:

  • A retrospective analysis of 493 patients undergoing appendectomy between 1999-2001.
  • Focus on 92 patients with complicated appendicitis (48 open, 44 laparoscopic).
  • Comparison of demographic data, operative time, BMI, inflammatory markers, and complication rates.

Main Results:

  • Laparoscopic appendectomy had a significantly lower complication rate (11.5% vs. 35%) and shorter postoperative hospital stay (8 vs. 9 days).

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  • Conversion rate to open surgery was low (2.3%).
  • No significant differences in operative time or inflammatory markers were observed.

    • Conclusions:

    • Laparoscopic appendectomy is a safe and advantageous treatment for complicated appendicitis.
    • It leads to reduced complications and shorter recovery periods.