Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Laparoscopic appendectomy for complicated appendicitis

R C Frazee¹, W T Bohannon

¹Division of General Surgery, Scott & White Clinic, Temple, Tex., USA.

Archives of Surgery (Chicago, Ill. : 1960)

|May 1, 1996

Summary

This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Portal vein aneurysm: a rare occurrence.

Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing·2011

Same author

Outcome of venous stasis ulceration when complicated by arterial occlusive disease.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2002

Same author

Carotid endarterectomy in women: challenging the results from ACAS and NASCET.

Annals of surgery·2001

Same author

Economic considerations for aortic surgery: retroperitoneal approach--is it worth it?

Acta chirurgica Belgica·2001

Same author

Management of ectatic, nonaneurysmal iliac arteries during endoluminal aortic aneurysm repair.

Journal of vascular surgery·2001

Same author

Retroperitoneal approach for aortic surgery: is it worth it?

Cardiovascular surgery (London, England)·2001

Same journal

The White Test: A New Dye Test for Intraoperative Detection of Bile Leakage During Major Liver Resection-Invited Critique.

Archives of surgery (Chicago, Ill. : 1960)·2017

Same journal

Use of Vascular Clamping in Hepatic Surgery: Lessons Learned From 1260 Liver Resections-Invited Critique.

Archives of surgery (Chicago, Ill. : 1960)·2017

Same journal

Randomized Clinical Trial of Small-Incision and Laparoscopic Cholecystectomy in Patients With Symptomatic Cholecystolithiasis: Primary and Clinical Outcomes-Invited Critique.

Archives of surgery (Chicago, Ill. : 1960)·2017

Same journal

Liver Resection With a New Multiprobe Bipolar Radiofrequency Device-Invited Critique.

Archives of surgery (Chicago, Ill. : 1960)·2017

Same journal

Porcine and Bovine Surgical Products: Jewish, Muslim, and Hindu Perspectives-Invited Critique.

Archives of surgery (Chicago, Ill. : 1960)·2017

Same journal

Neuroendocrine Liver Metastasis: Transplant as Part of Multimodality Liver-Directed Therapy-Reply.

Archives of surgery (Chicago, Ill. : 1960)·2016

See all related articles

Laparoscopic appendectomy is feasible for gangrenous and perforating appendicitis, though perforating cases show higher complication rates. This study evaluated laparoscopic appendectomy outcomes for these severe appendicitis types.

Area of Science:

Surgical Gastroenterology
Minimally Invasive Surgery
Appendicitis Management

Background:

Acute gangrenous and perforating appendicitis traditionally carry high risks of postoperative complications.
These severe forms of appendicitis have often been viewed as contraindications for laparoscopic appendectomy.

Purpose of the Study:

To assess the complication rate associated with laparoscopic appendectomy in patients diagnosed with gangrenous or perforating appendicitis.

Main Methods:

A retrospective analysis was conducted on patients who underwent laparoscopic appendectomy.
Data were collected from a multispecialty clinic setting.

Main Results:

Fifteen patients with gangrenous appendicitis had a 7% morbidity rate (1 abdominal abscess).

Related Experiment Videos

Nineteen patients with perforating appendicitis experienced a 42% morbidity rate, including intra-abdominal abscesses (26%), wound infections (10%), and one mortality (5%) from sepsis.

Average operating times were similar (85 min for gangrenous, 84 min for perforating). Hospitalization was significantly longer for perforating appendicitis (7 days vs. 2 days).

Conclusions:

Laparoscopic appendectomy can be performed for gangrenous and perforating appendicitis.
While feasible, perforating appendicitis presents a significantly higher risk of postoperative complications, including intra-abdominal abscesses and sepsis, necessitating careful patient selection and management.