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[Laparoscopic approach in acute appendicitis: experience with 501 consecutive cases].
Nicola Romano1, Valerio Prosperi, Cristina Gabellieri
1U O Chirurgia Generale, Presidio Ospedaliero "F Lotti", Pontedera (Pistoia).
Chirurgia Italiana
|August 22, 2009
Summary
This study of 501 appendectomies shows that routine laparoscopic appendectomy for acute appendicitis is safe and effective, with a low complication rate. Laparoscopic surgery offers benefits like shorter hospital stays and fewer infections.
Area of Science:
- General Surgery
- Minimally Invasive Procedures
Context:
- Acute appendicitis is a common surgical emergency.
- Laparoscopic appendectomy is debated for acute appendicitis treatment.
- This study analyzes 501 appendectomies performed between 2003 and 2008.
Purpose:
- To evaluate the safety and efficacy of a routinely performed laparoscopic approach for acute appendicitis.
- To compare outcomes between laparoscopic and open appendectomy.
- To assess complication rates and conversion rates in laparoscopic appendectomy.
Summary:
- A total of 501 appendectomies were performed: 429 laparoscopically and 72 via open surgery.
- The laparoscopic approach had a 4.2% conversion rate, with lower rates in simple (0.98%) versus complex (12.1%) appendectomies.
- The overall complication rate was 2.1% with no mortality, supporting the safety of routine laparoscopic appendectomy.
Impact:
- The findings support the routine use of laparoscopic appendectomy for acute appendicitis.
- This approach is associated with low complication rates, including intra-abdominal abscesses.
- Laparoscopic appendectomy offers advantages such as reduced hospital stay and fewer wound infections.
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