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[Laparoscopic versus conventional appendectomy--a comparison with reference to early postoperative complications]
S Barkhausen1, C Wullstein, E Gross
11. Chirurgische Abteilung, Allgemeines Krankenhaus Barmbek, Hamburg.
Zentralblatt Fur Chirurgie
|September 25, 1998
Summary
Laparoscopic appendectomy (LA) significantly reduces postoperative complications compared to conventional appendectomy (CA), particularly wound infections. LA is recommended as the preferred surgical approach for acute appendicitis.
Area of Science:
- Surgical Innovation
- Gastrointestinal Surgery
- Minimally Invasive Procedures
Background:
- Acute appendicitis remains a common surgical emergency.
- Conventional appendectomy (CA) has been the standard treatment.
- Laparoscopic appendectomy (LA) offers a minimally invasive alternative.
Purpose of the Study:
- To compare the complication rates of laparoscopic appendectomy (LA) and conventional appendectomy (CA).
- To evaluate the safety and efficacy of LA versus CA in treating acute appendicitis.
Main Methods:
- Retrospective analysis of 930 consecutive patients undergoing appendectomy between 1989 and 1997.
- Comparison of complication rates between LA (n=554) and CA (n=330) groups.
- Analysis included patients requiring conversion from LA to CA (n=46).
Main Results:
- Overall postoperative complication rate was 8.78%.
- LA group had significantly fewer complications (4.69%) than CA group (13.33%), especially wound infections (1.8% vs. 11.21%).
- Intra-abdominal abscess rates were similar; systemic complications were higher after conversion (6.52%).
Conclusions:
- Laparoscopic appendectomy significantly reduces postoperative complications, notably wound infections.
- LA is considered the procedure of choice for acute appendicitis.
- Conversion from LA to CA is associated with increased systemic complications.