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Laparoscopic appendectomy for complicated acute appendicitis
L D'Ambra1, S Berti, P Bonfante
1S.Andrea Hospital, La Spezia.
Il Giornale Di Chirurgia
|May 11, 2011
Summary
Laparoscopic appendectomy is a safe and effective option for complicated appendicitis. This study found it comparable to open surgery with similar complication rates.
Area of Science:
- General Surgery
- Minimally Invasive Surgery
Background:
- The efficacy of laparoscopic appendectomy for complicated appendicitis remains debated.
- This study evaluates the laparoscopic approach versus open surgery for complicated cases.
Purpose of the Study:
- To assess the effectiveness and safety of laparoscopic appendectomy in managing complicated appendicitis.
- To compare outcomes between laparoscopic and open appendectomy for complicated appendicitis.
Main Methods:
- Retrospective study of 194 patients with complicated appendicitis from January 2003 to October 2008.
- 121 patients underwent laparoscopic appendectomy; 73 underwent conventional open surgery.
Main Results:
- Average hospital stay was 5.7 days.
- Overall post-operative complications occurred in 9.1% of patients.
- Specific complications included intra-abdominal abscess (2.5%), wound infection (1.6%), and prolonged ileus (4.9%).
Conclusions:
- Laparoscopic appendectomy is a valid, safe, and feasible approach for acute complicated appendicitis.
- The laparoscopic procedure demonstrates comparable outcomes to open surgery for complicated appendicitis.
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