Laparoscopic versus open appendectomy for the treatment of complicated appendicitis

Ferranti, Fabrizio and Corona, Francesco and Siani, Luca Maria and Stefanuto, Alberto and Aguzzi, Daniele and Santoro, E. (2012) Laparoscopic versus open appendectomy for the treatment of complicated appendicitis. Il giornale di chirurgia, 33 (8/9). pp. 263-267. ISSN 1971-145X

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Abstract

Aim. Laparoscopic Appendectomy (LA) is widely performed for the treatment of acute appendicitis. However the use of laparoscopic approach for complicated appendicitis is controversial, in particular because it has been reported an increased risk of postoperative IntraAbdominal Abscess (IAA). The aim of this study was to compare the outcomes of LA versus Open Appendectomy (OA) in the treatment of complicated appendicitis, especially with regard to the incidence of postoperative IAA. Patients and Methods. A retrospective study of all patients treated at our institution for complicated appendicitis, from May 2004 to June 2009, was performed. Data collection included demographic characteristics, postoperative complications, conversion rate, and length of hospital stay. Results. Thirty-eight patients with complicated appendicitis were analysed. Among these, 18 (47,3%) had LA and 20 (52,7%) had OA. There were no statistical differences in characteristics between the two groups. The incidence of postoperative IAA was higher (16,6%), although not statistically significant, in the LA compared with OA group (5%). On the other hand the rate of wound infection was lower (5%) in the LA versus OA (20%). Conclusion. Our study indicated that LA should be utilised with caution in case of perforated appendicitis, because it is associated with an increased risk of postoperative IAA compared with OA.

Item Type:	Article
Uncontrolled Keywords:	Laparoscopic appendectomy, Complicated appendicitis, Postoperative intraabdominal abscesses
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia > 617.4 Chirurgia secondo il Sistema e Regioni
Depositing User:	Nadia Del Gobbo
Date Deposited:	03 Aug 2016 14:09
Last Modified:	03 Aug 2016 14:09
URI:	http://eprints.bice.rm.cnr.it/id/eprint/8034

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