Outcome after intra- and extra-corporeal laparoscopic appendectomy techniques

Abstract

The authors' experience shows the EC technique to be significantly quicker, although with a slightly increased complication rate. Either technique can be applied safely for acute appendicitis.

SAGES guideline for laparoscopic appendectomy

“…Laparoscopic appendectomy can be performed safely in any trimester and is considered by many to be the standard of care for gravid patients with suspected appendicitis [26][27][28][29]. See [30] for more complete discussion.…”

The Laparoscopic Appendectomy – A Recent Trend

“…The lowered rate of wound sepsis in our study are because of least contact of infected appendix with the surrounding walls of the port as it is fully drawn into the sheath of the trocar before its retrieval. This is contrary to the belief of Suttie SA and Seth S who claim an increased rate of wound infection in video-assisted extracorporeal appendectomy compared to conventional open appendectomy (Suttie SA and Seth S 2004). Author continued the same study and a total number of the study subjects has reached to 1700 of which only 625(36.76%) gave consent for open appendectomy while remaining (63.23%, n=1075) patients were willing for video-assisted laparoscopic appendectomy.…”

Role of dissemination of microorganisms during laparoscopic appendectomy in abscess formation

“…[4,6] Suspicions have been raised about a potential increase in the rates of infection, particularly with anaerobic bacteria, due to the anaerobic atmosphere of the pneumoperitoneum, contamination with the contents of the appendix during the preparation of the mesoappendix, and the removal of the appendix via the right paracolic area of the abdomen. [14] Our study showed that laparoscopic appendectomy did not increase intra-abdominal rates of infection, and particularly not with anaerobic bacteria.…”

“…After creating a pneumoperitoneum with CO 2 at a pressure between 8 and 10 mmHg, two 5 mm trocars were introduced at the left lower abdomen and at the midline above the symphysis pubis under direct vision of a 5 mm 30° laparoscope. [6] A grasper was used to identify the appendix and to dissect retroperitoneal adhesions. When the tip of the appendix was freed, the mesoappendix was divided by hook cautery.…”