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Published on: March 24, 2023
Laparoscopic treatment of presumed perforated appendicitis in consecutive patients
Hyoung-Chul Park1, Byung-Seup Kim, Bong Hwa Lee
1Department of Surgery, Hallym University College of Medicine, Anyang, Korea. greatpa1@hallym.or.kr
Purpose:
The aim of the present study was to determine whether the laparoscopic approach is effective in the prompt diagnosis and treatment in consecutive patients with presumed perforated appendicitis.
Methods:
Over a period of 2 years, 203 patients were tentatively diagnosed with perforated appendicitis on the basis of radiological findings. We performed laparoscopic procedure and evaluated the outcomes, including the incidence of alternative pathologies.
Results:
Most patients (188/203, 92.6%) were treated with laparoscopic appendectomy or partial cecectomy. Five (2.4%) cases were converted to open surgery. Alternative pathologies were found in 24 patients (12%). Of these, 8 patients underwent laparoscopic ileocolic resection (4 diverticulitis, 2 Crohn disease, 1 cystadenoma, and 1 tuberculosis) and 4 patients (2 carcinoid tumors and 2 cancers) underwent subsequent laparoscopic right hemicolectomy. Complications developed in 23 patients (11.3%).
Conclusions:
Laparoscopy for presumed perforated appendicitis is an effective treatment and avoids the delay arising from a late diagnosis.
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