Laparoscopic Appendectomy for Acute and Recurrent Appendicitis: Retrospective Analysis of a Single-Group 5-Year Experience

Abstract

In our hands, LA has proven to be safe and effective. The laparoscopic operation has significant advantages in terms of lower invasiveness and better diagnostic capability. It is especially useful in women of child-bearing age, in whom it may be considered the procedure of choice.

SAGES guideline for laparoscopic appendectomy

“…With improved visualization of the entire abdomen, laparoscopy for the treatment of appendicitis improves the diagnostic accuracy and can identify the definitive pathology more often than the open approach [21][22][23][24].…”

Laparoscopic Appendectomy in Italy: An Appraisal of 26,863 Cases

“…A recent audit on LA in northeastern Italy revealed that only 58% of surgeons indicate laparoscopy for suspected acute appendiceal disease, namely in women of childbearing age. 1 Altogether, about 12500 LA have been reported in the indexed medical literature from Italian institutions since 1992 through three prospective studies, 6,17,27 twenty-two retrospective clinical series, [2][3]5,[7][8][9][10][11][12][13][14][15][16][18][19][20][21][22][25][26][27][28] one audit, 1 and one case report. 4 These reports undoubtedly underestimate the practice of LA in Italy, but all authors agree that laparoscopy has the advantage of a superior diagnostic yield, reduced postoperative discomfort, and lower morbidity rates than open surgery.…”

“…1 Ospedale Civile, Vittorio Veneto, Italy; 2 Hopital Académique Erasme, Université Libre de Bruxelles, Belgium; 3 Ospedale San Filippo Neri, Roma, Italy; 4 Ospedale St. Charles, Bordighera, Italy; 5 Università degli Studi di Catania, Italy; 6 Policlinico San Pietro, Ponte San Pietro, Italy; 7 Policlinico S. Orsola, Bologna, Italy; 8 Università di Napoli, Napoli, Italy; 9 Università di Torino, Italy; 10 Università degli Studi di Foggia, Italy; 11 Università di Ancona, Italy; 12 Studio Radiologico del Corso, Cagliari, Italy; 13 Azienda Ospedaliera Careggi, Firenze, Italy; 14 Istituto Nazionale Tumori, Milano, Italy; 15 Università Cattolica del Sacro Cuore, Roma, Italy.…”

Laparoscopic or Open Appendectomy: A Surgical Dilemma

“…Many authors foresees Laparoscopic surgery as a reliable future tool for intraabdominal surgical pathologies in order to provide less invasiveness with maximum comfort and outcomes 6,7 . Several studies [8][9][10][11][12][13][14][15] have shown that laparoscopic appendectomy is safe with faster recovery and least wound complication.…”