Related Experiment Video
Updated: Mar 20, 2026
08:51
Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
Published on: August 24, 2019
10.8K
Does Conversion Adversely Impact the Clinical Outcomes for Patients with Complicated Appendicitis?
Jin Kyong Kim1, Jeonghyun Kang2, Woo Ram Kim3
11 Department of Surgery, Yonsei University College of Medicine , Seoul, Korea.
Summary
Laparoscopic appendectomy (LA) is viable for complicated appendicitis (CA), even with conversion to open surgery. Conversion did not increase complications or hospital stay compared to open appendectomy.
Area of Science:
- Surgical Procedures
- Gastrointestinal Surgery
- Minimally Invasive Surgery
Background:
- Laparoscopic appendectomy (LA) is underused in complicated appendicitis (CA) due to conversion rates.
- Limited data exists on the clinical outcomes following conversion in CA cases.
Purpose of the Study:
- To compare perioperative outcomes of laparoscopic appendectomy (LA) versus open appendectomy in patients with complicated appendicitis (CA).
- To evaluate the clinical course and outcomes associated with conversion from LA to open surgery in CA.
Main Methods:
- Retrospective analysis of 1699 appendectomies performed between January 2005 and April 2012.
- 207 patients with complicated appendicitis (CA) were identified and categorized into open group (OG), laparoscopy group (LG), and converted group (CG).
- Perioperative outcomes including operation time, blood loss, complication rates, and length of hospital stay (LOH) were compared.
Main Results:
- Conversion rate from attempted LA to open surgery was 11.8% (20/169).
- The converted group (CG) experienced longer operation times and higher blood loss compared to LG and OG.
- The laparoscopy group (LG) showed fewer overall complications and shorter LOH than both OG and CG. No significant differences in complication rates or LOH were found between OG and CG.
Conclusions:
- Laparoscopic appendectomy (LA) completion is associated with better outcomes.
- Conversion to open surgery in CA cases does not significantly increase overall morbidity or length of hospital stay compared to primary open appendectomy.
- Laparoscopic approach is a feasible option for managing complicated appendicitis (CA).
More Related Videos
06:46Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
Published on: January 9, 2026
292
08:26Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
2.0K
Related Concept Videos
01:29Appendicitis-II: Diagnostic Studies and Management
725
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
725
01:22Appendicitis-I: Introduction
3.3K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
3.3K
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
1.4K
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
1.4K
01:17Chronic Bowel Disorders: Introduction
893
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
893
01:21Inflammatory Bowel Disease V: Surgical Management
818
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
818
01:30Inflammatory Bowel Disease II: Crohn's Disease
1.5K
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
1.5K