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Laparoscopic management of appendicular mass
Vishwanath V Shindholimath1, K Thinakaran, T Narayana Rao
1Department of Surgery, PES Institute of Medical Sciences and Research, Kuppam, 517 425, District Chittoor, Andhra Pradesh, India.
Journal of Minimal Access Surgery
|April 28, 2011
Summary
Laparoscopic appendectomy is a feasible surgical option for treating appendicular mass, a complex form of appendicitis. Further research is recommended to confirm these findings in a larger patient group.
Area of Science:
- Minimally Invasive Surgery
- Gastrointestinal Surgery
- Surgical Oncology
Background:
- Laparoscopic appendectomy is increasingly preferred for acute appendicitis.
- Its application in complicated appendicitis, specifically appendicular mass, remains debated.
- This study evaluates the feasibility of laparoscopic appendectomy for appendicular mass.
Purpose of the Study:
- To assess the feasibility of laparoscopic appendectomy in patients diagnosed with appendicular mass.
- To evaluate the safety and efficacy of this minimally invasive approach for a complex appendicitis presentation.
Main Methods:
- Retrospective review of patients treated for appendicular mass via laparoscopy.
- Study conducted at a tertiary care hospital between March 2007 and October 2009.
- Analysis of operative time, pathological findings, hospital stay, and postoperative complications.
Main Results:
- Out of 120 appendicitis patients, 19 (15.8%) presented with appendicular mass.
- Average operative time was 95 minutes (range 45-140 minutes).
- Postoperative complications occurred in 3 patients (15.7%), including wound infections and readmission for pain.
Conclusions:
- Laparoscopic appendectomy demonstrates feasibility for treating appendicular mass.
- The study suggests this approach is viable, but further validation is needed.
- A prospective, randomized trial is proposed to confirm these findings.
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