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Laparoscopic Appendectomy Is Safe: Influence of Appendectomy Technique on Surgical-site Infections and

Maximilian Sohn1, Maria Hoffmann, Alfred Hochrein

  • 1*Department of Abdominal, Vascular and Thoracic Surgery, Klinikum Bogenhausen, Städtisches Klinikum München GmbH GmbH ‡Department of General, Abdominal and Trauma Surgery, Chirurgische Klinik Dr. Rinecker, Munich †Department of General, Vascular and Thoracic Surgery, Charité - University Medical Center Berlin, Campus Benjamin Franklin, Berlin, Germany.

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|December 3, 2014
PubMed
Abstract

Insights

This study found no significant difference in surgical-site infections or intra-abdominal abscesses between open and laparoscopic appendectomy. Higher ASA scores and intraoperative inflammation increase infection risk.

Area of Science:

  • Surgical outcomes
  • Infectious disease epidemiology

Background:

  • Surgical-site infections (SSIs) and intra-abdominal abscesses (IAAs) are common after appendectomy.
  • The comparative efficacy of laparoscopic versus open appendectomy for these complications is debated.

Purpose of the Study:

  • To compare the rates of SSIs and IAAs between open appendectomy (OAG) and laparoscopic appendectomy (LAG).
  • To identify risk factors associated with SSIs and IAAs following appendectomy.

Main Methods:

  • Retrospective cohort study of 430 patients undergoing appendectomy from 2007-2010.
  • Data collected via patient files and post-discharge questionnaires.
  • Univariate and multivariate analyses compared OAG and LAG for SSI and IAA rates.

Main Results:

  • No significant difference in SSI (11.7% OAG vs. 7.5% LAG) or IAA (2.4% OAG vs. 3.8% LAG) rates between OAG and LAG.
  • Risk factors for SSI included age, BMI, ASA score, and inflammation grade.
  • Intraoperative inflammation grade was the sole predictor for IAA.

Conclusions:

  • Higher ASA scores and intraoperative inflammation are linked to increased SSI risk.
  • Intraoperative inflammation also correlates with IAA development.
  • Laparoscopic appendectomy does not significantly impact SSI or IAA rates compared to open appendectomy.

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