Document Detail


Laparoscopic appendectomy for complicated acute appendicitis does not result in increased surgical complications.
MedLine Citation:
PMID:  22884268     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND/OBJECTIVES: Septic postoperative complications are debated in patients with complicated acute appendicitis treated with laparoscopic appendectomy (LA). The aim of this study was to investigate the results of LA in both complicated and uncomplicated cases of acute appendicitis.
METHODS: From January to December 2009, 94 patients with acute appendicitis underwent LA by the same surgeon using the three-port technique. Data were accumulated and compared between complicated and uncomplicated acute appendicitis.
RESULTS: Of the 94 patients (45 women and 49 men), 19 had complicated and 75 uncomplicated acute appendicitis. The group with complicated acute appendicitis, as compared to the uncomplicated group, was significantly older (55.7 ± 20.5 years vs. 41.0 ± 18.0 years), and had a significantly increased operation time (117.6 ± 45.5 minutes vs. 78.2 ± 39.4 minutes), longer length of hospital stay (9.0 ± 3.3 days vs. 5.2 ± 6.0 days) and higher conversion rate (21.1% vs. 2.7%). No increase in surgical complications was noted in patients with complicated acute appendicitis, as compared to those with uncomplicated acute appendicitis.
CONCLUSION: This study demonstrated no increase in surgical complications after LA in patients with complicated acute appendicitis when compared with those who had uncomplicated disease. Therefore, LA may be considered the first-choice treatment option for both uncomplicated and complicated acute appendicitis.
Authors:
Yueh-Ming Lin; Ching-Hua Hsieh; Chia-I Cheng; Boon-Lee Tan; Hang-Tsung Liu
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article     Date:  2012-05-29
Journal Detail:
Title:  Asian journal of surgery / Asian Surgical Association     Volume:  35     ISSN:  0219-3108     ISO Abbreviation:  Asian J Surg     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-08-13     Completed Date:  2012-12-27     Revised Date:  2013-06-11    
Medline Journal Info:
Nlm Unique ID:  8900600     Medline TA:  Asian J Surg     Country:  China    
Other Details:
Languages:  eng     Pagination:  113-6     Citation Subset:  IM    
Copyright Information:
Copyright © 2012, Asian Surgical Association. Published by Elsevier Taiwan LLC. All rights reserved.
Affiliation:
Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Adult
Aged
Aged, 80 and over
Appendectomy / methods*
Appendicitis / complications,  surgery*
Child
Female
Humans
Laparoscopy*
Male
Middle Aged
Postoperative Complications / epidemiology,  etiology*
Treatment Outcome
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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