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Complicated appendicitis: laparoscopic or conventional surgery?

Boris Kirshtein¹, Michael Bayme, Sergey Domchik

¹Department of Surgery A, Soroka University Medical Center, and Faculty of Health Sciences, Ben Gurion University of Negev, POB 151, 84101 Beer Sheva, Israel. borkirsh@mail.bgu.ac.il

World Journal of Surgery

|March 16, 2007

Summary

Laparoscopic appendectomy is a viable surgical option for complicated appendicitis. This approach demonstrated similar infectious complication rates compared to open surgery, supporting its use.

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Area of Science:

General Surgery
Minimally Invasive Surgery

Background:

Surgical management of complicated appendicitis lacks consensus.
Evaluating laparoscopic appendectomy against open surgery is crucial.

Purpose of the Study:

To assess the efficacy of laparoscopic appendectomy for complicated appendicitis.
To compare outcomes of laparoscopic versus open appendectomy.

Main Methods:

Retrospective review of 98 patients with complicated appendicitis (2001-2005).
Comparison of outcomes between open appendectomy (48 patients) and laparoscopic appendectomy (42 patients), including 8 conversions.

Main Results:

Laparoscopic appendectomy was more frequently offered to older patients, those with comorbidities, and females.
No significant differences in operating time, oral intake resumption, or hospital stay were noted.
Mortality and infectious complication rates were comparable between laparoscopic and open appendectomy groups.

Conclusions:

Laparoscopic appendectomy is a safe and effective alternative for complicated appendicitis.
The procedure offers comparable infectious complication rates to open surgery.