Morbidity of laparoscopic surgery for complicated appendicitis: an international study

Cueto, Jorge; Dallemagne, Bernard; Vázquez-Frias, José Antonio; Gómez, Segundo Ángel; Delgado, Fernando; Trullenque, L.; Fajardo, Roosevelt; Valencia, Salvador; Poggi, Luis; Ballí, Jorge; Díaz, José Luis Rodríguez; González, R.; Mansur, J; Franklin, Morris E.

doi:10.1007/s00464-005-0402-4

Cited by 100 publications

(69 citation statements)

References 44 publications

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“…8 Cueto J et al observed that 2.7% of the patients needed conversion. 9 Horwitz JR et al in their study had Fifty-six cases and reported a conversion rate in seven children. Contrary to above findings discussed, here the author found that complication rate was more in LA group patients than OA group patients.…”

Section: Discussionmentioning

confidence: 94%

Study of laparoscopic appendectomy: advantages, disadvantages and reasons for conversion of laparoscopic to open appendectomy

2017

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Background:Good outcome has been reported with the laparoscopic approach in uncomplicated appendicitis, but a higher incidence of postoperative intraabdominal abscesses has been reported after laparoscopic appendectomy in complicated appendicitis. Objective was to study the efficacy of laparoscopic appendectomy.Methods: A Hospital based cross sectional study was carried out among of 302 patients. The study duration was from June 2004 to December 2006. Institutional Ethics Committee permission was obtained. Informed individual consent was taken. Out of 302 subjects, 236 underwent open appendectomy and 66 underwent laparoscopic appendectomy.Results:It was observed that in both the groups majority patients had retrocecal position of the appendix. The amount of blood loss, adjacent organ injury and duration of surgery were similar in both the groups. The difference in the incidence of wound infection in both groups was not found to be statistically significant. But the antibiotic use was significantly less in the LA group compared to OA group. It was found that time to resumptions of oral fees, duration of hospital stay and time to return to normal duties were significantly lesser in LA group compared to OA group. (p < 0.001). As per the cosmetic end result, majorities were satisfied in LA group and rated the surgery as excellent as compared to patients in OA group.Conclusions:Laparoscopic appendectomy was better than open appendectomy with respect to wound infection, tackling co-existing pathology, duration of hospital stay, earlier return to normal activity, excellent cosmetic end result, lesser use of antibiotics and earlier resumption of oral feeds.

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Section: Discussionmentioning

confidence: 94%

Study of laparoscopic appendectomy: advantages, disadvantages and reasons for conversion of laparoscopic to open appendectomy

2017

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“…In open surgery, the entire intraperitoneal cavity cannot be adequately assessed and peritoneal space can not be washed adequately and the surgeon feel uncomfortable to not to place a drainage tube. On the other hand, laparoscopy enables the evaluation of the entire intraperitoneal cavity and cleaning the peritoneal space, thus the postoperative peritoneal drainage would be unnecessary [12].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic appendectomy for perforated appendicitis in children: Is intraperitoneal drainage necessary?

Günaydın

Demirel²,

Bernay³

et al. 2015

J Clin Exp Invest

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ÖZETAmaç: Bu çalışmada amacımız, perfore apandisitlerde intraperitoneal drenajın gerekliliğini değerlendirmektir. Results: Statistically significant differences were observed between laparoscopic perforated appendicitis (71 male, 35 female; median 9.5 years) and open perforated appendicitis (108 male, 61 female; median 9 years) groups in terms of placement of nasogastric tube (102/106 vs.169/169) (p=0.021), length of hospital stay (1.67± 0.11 days vs. 2.34± 0.09 days) (p<0.001), intraperitoneal drainage (32/106 vs. 138/169), (p<0.001), duration of intraperitoneal drainage (1.66± 0.28 vs. 4.21± 0.2 days) and LOHS (5.82± 0.3 vs. 4.23± 0.6 days) respectively (p <0.001). There was no significant difference between the two groups in terms of development of intra-abdominal abscess (10/106 vs. 9/169), (p=0.144), surgical site infection (2/106 vs. 8/169), (p=0.187) and development of adhesive intestinal obstruction (1/106 vs. 9/169) (p=0.053). Conclusion:Laparoscopic access reduces the necessity for drainage and shortens duration of nasogastric tube and length of hospital stay. J Clin Exp Invest 2015; 6 (3): 224-227

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“…The use of clips to close the appendiceal stump was first 20,21 which is mainly due to the use of staplers and specimen bags. 17 In the present study, total cost of simple laparoscopic appendectomy was found to be reduced by 806.7±178.7 dollars when a clip was used instead of an ENDOLOOP without increasing the complication rate.…”

Section: Discussionmentioning

confidence: 99%

Study on the Feasibility and the Safety of Hem-o-lok Clipping for Complicated Acute Appendicitis during Laparoscopic Appendectomy

Kim

Lee

Yang

et al. 2013

J Minim Invasive Surg

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Purpose:The objective of this retrospective study is to evaluate the practical feasibility and safety of applying hem-o-lok clips for the closure of the appendiceal stump in complicated appendicitis.Methods: From January 2009 to April 2010, 267 patients who underwent laparoscopic appendectomies at the Pusan National University Yangsan Hospital were included in this study. Of these patients, 161 were diagnosed by computed tomography as having complicated acute appendicitis. In 107 patients, the appendiceal stump was closed with hem-o-lok clips, whereas in the remaining 160 patients, it was closed with endoloops. These two groups were compared for clinicopathologic data and procedural cost-effectiveness.Results: No significant differences were found between the two groups in terms of age, sex, hospital stay, or blood loss. Furthermore, postoperative complications were similar and highly acceptable in both groups. However, operation times were significantly shorter and hospital cost was lower for the hem-o-lok group.Conclusion: The hem-o-lok clips has advantages such as simplicity of application, a shorter operation time, and lower hospital cost when used as a means of securing the base of the appendix in relation to the endoloop procedure.

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Morbidity of laparoscopic surgery for complicated appendicitis: an international study

Abstract: The morbidity rates, particularly for intraabdominal abscesses, were less for laparoscopic appendectomy in complicated appendicitis than those reported in the literature for open appendectomy, whereas operating times and hospital stays were similar.

Cited by 100 publications

References 44 publications

Study of laparoscopic appendectomy: advantages, disadvantages and reasons for conversion of laparoscopic to open appendectomy

Study of laparoscopic appendectomy: advantages, disadvantages and reasons for conversion of laparoscopic to open appendectomy

Laparoscopic appendectomy for perforated appendicitis in children: Is intraperitoneal drainage necessary?

Study on the Feasibility and the Safety of Hem-o-lok Clipping for Complicated Acute Appendicitis during Laparoscopic Appendectomy

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