Laparoscopic appendectomy for complicated appendicitis: an evaluation of postoperative factors

Ball, Chad G.; Kortbeek, John B.; Kirkpatrick, A. W.; Mitchell, Philip

doi:10.1007/s00464-003-8262-2

Cited by 113 publications

(73 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Surgeons prefer to use LA ever-increasingly also in complicated appendicitis (1,5). During LA, surgeons can make detailed abdominal exploration, and this helps to rule out disorders such as pelvic inflammatory disease, over cyst rupture or intraabdominal abcess that mimick acute appendicitis.…”

Section: Discussionmentioning

confidence: 99%

Retroçekal Akut Apandisitte Cerrahi: Açık mı? Laparaskopik mi?

Uysal¹,

Kırdak²,

Dokur³

et al. 2016

Kocatepe Tıp Dergisi

View full text Add to dashboard Cite

ÖZAmaç: Akut apandisit, akut batına sebep olan en yaygın hastalıktır. Cerrahlar giderek artan oranda laparoskopik cerrahi tedaviyi akut apandisitte de tercih etmektedir. Ancak jeneralize peritonit, komplike apandisitlerde ve retroçekal apandisitlerde halen laparoskopik cerrahide kararsızlık yaşanmaktadır. Çalışmamızda retroçekal apandisit nedeniyle laparoskopik apendektomi ve açık apendektomi uygulanmış hastaların karşılaştırılması ve laparoskopinin bu vakalarda etkinliğini belirlemek amaç-lanmıştır. Gereç ve Yöntem:Akut retroçekal apandisit nedeniyle laparoskopik apandektomi ve açık apandektomi uygulanan 26 hasta çalışmaya alındı. Operasyon süresi, hastanede yatış süresi, komplikasyonlar ve maliyetler not edilerek karşılaştırıldı. Veriler ortalama ± Standart sapma (SD) olarak verilmiştir. Bulgular: Ortalama operasyon süresi laparoskopik apandektomi ve açık apandektomide sırasıyla 75± 20.3 SD dakika and 50± 11,4 SD dakika, p<0.001 olarak bulundu. Ortalama hastanede kalış süresi laparoskopik apandektomi ve açık apandektomide sırasıyla 27.64± 13 SD and 28.72±10.9 SD saat, p>0.05 olarak bulundu. Toplam maliyet açık apandektomi grubunda anlamlı olarak azdı. Ortalama total maliyet açık apandektomi ve laparoskopik apandektomide sırasıyla $ 557±133.9 SD and $ 806 ±264.3 SD, p<0.01, olarak bulundu. İntraabdominal apse oranı her iki grupta benzerdi. Yara enfeksiyonu oranı ise bir hasta laparoskopik apandektomi, dört hasta açık apandektomi grubunda bulundu, p=0.012. Sonuç:Laparoskopik apandektomi retroçekal akut apandisitin tedavisinde güvenli ve uygulanabilir bir yöntem-dir. Düşük yara enfeksiyonu oranı avantaj olarak görül-mektedir. Açık apandektomi ise operasyon süresi ve total maliyet açısından laparoskopik apandektomiye göre üs-tün görülmektedir.Anahtar kelimeler: Retroçekal apandisit, Açık apendektomi, Laparoskopik apandektomi, Cerrahi ABSTRACTObjective: Acute appendicitis is one of the most common reasons of acute abdomen. Surgeons are increasingly preferring laparoscopic techniques in acute appendicitis. But there are still concern in cases of perforation, retrocecal appendicitis and generalized peritonitis. The aim of our study is to compare the results of open appendectomy (OA) versus laparoscopic appendectomy (LA) in retrocecal appendicitis and to determine the efficacy of laparoscopic approach in such cases. Material and Methods:Twenty six patients were included to this retrospective study who underwent open or laparoscopic appendectomy due to acute retrocecal appendicitis. Duration of operation, length of hospital stay, complications such as wound infection, were noted and compared. Data was presented as mean± Standart Deviation (SD).Results: Mean operation time for patients who underwent LA and OA were 75± 20.3 SD min and 50± 11.4 SD min, respectively, p<0.001. Mean length of hospital stay for patients who underwent LA and OA were 27.64± 13 SD hours and 28.72± 10.9 SD hours, respectively, p>0.05. The cost of operation and hospitalization was significantly lower in the OA group. Mean total costs in the OA and...

show abstract

Section: Discussionmentioning

confidence: 99%

Retroçekal Akut Apandisitte Cerrahi: Açık mı? Laparaskopik mi?

Uysal¹,

Kırdak²,

Dokur³

et al. 2016

Kocatepe Tıp Dergisi

View full text Add to dashboard Cite

show abstract

“…On the other hand many authors do not regard complicated appendicitis to be a contraindication for laparoscopic appendectomy. On the contrary, laparoscopic appendectomy in complicated appendicitis is reported to be safe (Ball et al, 2004;Kapischke et al, 2005;Pedersen et al, 2001;Stolzing et al, 2000;Wullstein et al, 2001) and reduce complication rate (Kapischke et al, 2005;Wullstein et al, 2001). Septic wound complications are reported to be less (Piskun et al, 2001;Stolzing et al, 2000).…”

Section: Diagnostic and Therapeutic Outcomes Of Laparoscopic Appendecmentioning

confidence: 99%

“…Intraabdominal abscesses are reported to be equally frequent (Asarias et al, 2011;Khalili et al, 1999;Wullstein et al, 2001) in the open and the laparoscopic approach. Also laparoscopic appendectomy in complicated appendicitis is supposed to lead to a shorter length of stay (Ball et al, 2004;Johnson et al, 1998;Kapischke et al, 2005;Towfigh et al, 2006) and reduced hospital costs (Johnson et al, 1998). The problem with some comparative studies is the existence of selection bias in patients undergoing laparoscopic or open appendectomy and also the fact that statistical analysis is not always done on an intention-to-treat-basis.…”

Section: Diagnostic and Therapeutic Outcomes Of Laparoscopic Appendecmentioning

confidence: 99%

Laparoscopic Appendectomy

Konstantinos¹,

Kornilia²

2011

Updated Topics in Minimally Invasive Abdominal Surgery

View full text Add to dashboard Cite

“…However controversy still exists, particularly in complicated appendicitis (CA) which is described as a perforated appendix with or without abscess formation (3)(4)(5). Some authors suggested that LA has an increased risk of postoperative intraabdominal abscess, and prolonged length of stay in complicated appendicitis (6), but others reported that LA is safe, effective, and should be the initial procedure of choice for complicated appendicitis as well (7,8). We aimed to review our experience with appendicitis to compare OA and LA techniques in children with non-complicated and complicated appendicitis.…”

Section: Introductionmentioning

confidence: 99%