Evaluation the role of laparoscopic management of complicated appendicitis
DOI:
https://doi.org/10.18203/2349-2902.isj20200807Keywords:
Appendicitis, Complicated appendicitis, Laparoscopic appendectomy, Open appendectomyAbstract
Background: A laparoscopic appendectomy (LA) was performed mostly on uncomplicated appendicitis due to opinions about its safety when it was first introduced. Nevertheless, there are still concerns about surgical difficulties in managing complicated appendicitis with laparoscopy, possible post-op complications and conversion to an open appendectomy (OA) during the surgery.
Methods: The study consists of 30 patients who underwent laparoscopic appendectomy in department of General Surgery at Assiut University hospitals. The study population was enrolled after fulfilling the selection criteria from department of General Surgery. Informed consent was taken from all the patients who are involved in this study. Patients diagnosis was based on clinical findings, complete blood counts, and abdominal sonography.
Results: Thirty patients underwent laparoscopic appendectomy for complicated appendicitis. Of the 30 patients, perforated appendix cases are 27, gangrenous appendix are 1, appendicular abscess only one case. Post operation wound infection, conversion rate and hospital stay rate very less.
Conclusions: The present study proved that laparoscopic appendectomy is the best approach in complicated appendicitis.
References
D'Agostino J. Common abdominal emergencies in children. Emerg Med Clin. 2002;20(1):139-53.
Barkhausen S1, Wullstein C, Gross E. Laproscopic versus conventional appendectomy - a comparison with reference to early postoperative complication. Zentralbl Chir. 1998;123:858-62.
Andersson RE, Hugander A, Thulin AJ. Diagnostic accuracy and perforation rate in appendicitis: association with age and sex of the patient and with appendicectomy rate. Eur J Surg. 1992;158(1):37-41.
Krukowski ZH, Irwin ST, Denholm S, Matheson NA. Preventing wound infection after appendicectomy: a review. British journal of surgery. 1988;75(10):1023-33.
Frazee RC, Roberts JW, Symmonds RE, Snyder SK, Hendricks JC, Smith RW, Custer 3rd MD, Harrison JB. A prospective randomized trial comparing open versus laparoscopic appendectomy. Annal surg. 1994;219(6):725.
Guller U, Hervey S, Purves H, Muhlbaier LH, Peterson ED, Eubanks S, et al. Laparoscopic versus open appendectomy: outcomes comparison based on a large administrative database. Annal Surg. 2004;239(1):43.
Ortega AE, Hunter JG, Peters JH, Swanstrom LL, Schirmer B, Laparoscopic Appendectomy Study Group. A prospective, randomized comparison of laparoscopic appendectomy with open appendectomy. Am J Surg. 1995;169(2):208-13.
Hellberg A, Rudberg C, Kullman E, Enochsson L, Fenyö G, Graffner H, et al. Prospective randomized multicentre study of laparoscopic versus open appendicectomy. Bri J Surg. 1999;86(1):48-53.
Park JB, Sul JY. Laparoscopic appendectomy: a safe primary procedure for complicated appendicitis. J Korean Surg Soc. 2007;72(1):51.
Piskun G, Kozik D, Rajpal S, Shaftan G, Fogler R. Comparison of laparoscopic, open, and converted appendectomy for perforated appendicitis. Surg Endosc. 2001;15(7):660-2.
So JB, Chiong EC, Chiong E, Cheah WK, Lomanto D, Goh P, et al. Laparoscopic appendectomy for perforated appendicitis. World J Surg. 2002;26(12):1485-8.
Heng-Fu Lin, Jiann-Ming Wu, Li-Ming Tseng, Kuo-Hsin Chen; Shih-Horng Huang; I-Rue Lai. Laparoscopic versus open appendectomy for perforated appendicitis. J Gastrointestinal Surg. 2006;10:906–10.
Katsuno G, Katsuno G, Fukunaga M, Nagakari K, Yoshikawa S. Laparoscopic one-stage resection of right and left colon complicated diverticulitis equivalent to Hinchey stage I-II. Surg Today. 2011;41(5):647-54.
Ansari IA, Gedam BS, Shah Y, Kale VB, Bansod PY. Laparoscopic appendectomy in acute appendicitis with or without complication. Inter J Biomed Advan Res. 2015;6(3):275-9.
Yagmurlu A, Vernon A, Barnhart DC, Georgeson KE, Harmon CM. Laparoscopic appendectomy for perforated appendicitis: a comparison with open appendectomy. Surg Endosc. 2006;20(7):1051-4.
