[Complications of the laparoscopic appendectomy]
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Updated: Jul 13, 2026

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
Published on: May 10, 2024
V Jatagandzidis1, P Herdegen, M Mrácek
1Chirurgická klinika 1. lékarské fakulty Univerzity Karlovy v Praze a Fakultní Thomayerovy nemocnice s poliklinikou, Praha. vasilis@seznam.cz
Abstract:
706 appendectomic procedures using laparoscopy were performed in the Surgical Clinic of the FTN hospital during 2003-2005. The group's mortality rate was nil, the morbidity rated 3.54%. The following complications were recorded: nine patients (1.27%) experienced infiltration in the right hypogastric region, which was confirmed on CT or ultrasound examinations, nine subjects (1.27%) suffered wound infections, two subjects (0.28%) developed subileus, in two subjects (0.28%) intraabdominal abscesses, and in one subject (0.14%) diffuse suppurative peritonitis were diagnosed, one subject (0.14%) developed intraabdominal hemorrhaging, in one subject (0.14%) intraabdominal hematoma was detected. Rates of complications in our group are similar to those presented in literature [1, 2, 3]. Based on their study group analysis, the authors found the laparoscopic appendectomy more beneficial for a patient than the open appendectomy.
Insights
Laparoscopic appendectomy offers a safe and effective alternative to open surgery, with low complication rates. This minimally invasive approach demonstrates significant patient benefits compared to traditional methods.
Area of Science:
- Surgical innovation
- Minimally invasive surgery
- Gastrointestinal surgery
Context:
- 706 laparoscopic appendectomies were performed between 2003-2005.
- Data collected from the Surgical Clinic of the FTN hospital.
- Compares outcomes of laparoscopic versus open appendectomy.
Purpose:
- To evaluate the safety and efficacy of laparoscopic appendectomy.
- To compare complication rates and patient benefits of laparoscopic versus open appendectomy.
- To assess the overall outcomes of a large cohort of laparoscopic appendectomies.
Summary:
- The study reports a nil mortality rate and a 3.54% morbidity rate for 706 laparoscopic appendectomies.
- Specific complications included infiltration (1.27%), wound infections (1.27%), subileus (0.28%), intraabdominal abscesses (0.28%), peritonitis (0.14%), hemorrhaging (0.14%), and hematoma (0.14%).
- Complication rates are comparable to existing literature, supporting laparoscopic appendectomy's benefits over open procedures.
Impact:
- Laparoscopic appendectomy is presented as a beneficial procedure for patients.
- Highlights the safety profile of minimally invasive appendectomy.
- Contributes to the evidence supporting advanced surgical techniques in appendicitis treatment.
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