Complications after Laparoscopic Appendectomy for Complicated Appendicitis
Background. Laparoscopic appendectomy is established method in the treatment of complicated appendicitis. Certain advantages of the technique do not fulfill the expectations for its superiority over the open appendectomy as when it is used for uncomplicated appendicitis. This is generally caused be...
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Vilnius University Press
2020-06-01
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doaj-4429afc00a8548ab9152fe0a4758cf872020-11-25T03:11:51ZengVilnius University PressLietuvos Chirurgija1392-09951648-99422020-06-01191-210.15388/LietChirur.2020.19.23Complications after Laparoscopic Appendectomy for Complicated AppendicitisAndrej Nikolovski0Shenol Tahir1Dragoslav Mladenovikj2University Surgical Clinic “St. Naum Ohridski”, North MacedoniaUniversity Surgical Clinic “St. Naum Ohridski”, North MacedoniaUniversity Surgical Clinic “St. Naum Ohridski”, North Macedonia Background. Laparoscopic appendectomy is established method in the treatment of complicated appendicitis. Certain advantages of the technique do not fulfill the expectations for its superiority over the open appendectomy as when it is used for uncomplicated appendicitis. This is generally caused because of the high variety of postoperative complications reported in different series for complicated appendicitis. Material and methods. This prospective interventional clinical study analyzes 61 patients operated with laparoscopic and open appendectomy due to complicated appendicitis, with an end point of comparing the intra and postoperative complications in both groups. Results. Conversion in open appendectomy was forced in one patient (1.63%). The operative time was significantly shorter in the laparoscopic group (p = 0.048). Wound infection was significantly predominant in the open group (p = 0.045). Postoperative intraabdominal abscess occurred in one patient in the laparoscopic group (p = 0.52). The overall morbidity was 26.2% (7 patients in the laparoscopic, and 9 in the open group; p = 0.59). Length of stay was significantly shorter in the laparoscopic group (p = 0.00001). Conclusion. Certain significant advantages of the laparoscopic appendectomy as low incidence of wound infection, short hospitalization, less postoperative pain and faster socialization makes the laparoscopy up to date method in the treatment of complicated appendicitis. https://www.journals.vu.lt/lietuvos-chirurgija/article/view/18366complicated appendicitislaparoscopic appendectomyopen appendectomycomplications |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Andrej Nikolovski Shenol Tahir Dragoslav Mladenovikj |
spellingShingle |
Andrej Nikolovski Shenol Tahir Dragoslav Mladenovikj Complications after Laparoscopic Appendectomy for Complicated Appendicitis Lietuvos Chirurgija complicated appendicitis laparoscopic appendectomy open appendectomy complications |
author_facet |
Andrej Nikolovski Shenol Tahir Dragoslav Mladenovikj |
author_sort |
Andrej Nikolovski |
title |
Complications after Laparoscopic Appendectomy for Complicated Appendicitis |
title_short |
Complications after Laparoscopic Appendectomy for Complicated Appendicitis |
title_full |
Complications after Laparoscopic Appendectomy for Complicated Appendicitis |
title_fullStr |
Complications after Laparoscopic Appendectomy for Complicated Appendicitis |
title_full_unstemmed |
Complications after Laparoscopic Appendectomy for Complicated Appendicitis |
title_sort |
complications after laparoscopic appendectomy for complicated appendicitis |
publisher |
Vilnius University Press |
series |
Lietuvos Chirurgija |
issn |
1392-0995 1648-9942 |
publishDate |
2020-06-01 |
description |
Background. Laparoscopic appendectomy is established method in the treatment of complicated appendicitis. Certain advantages of the technique do not fulfill the expectations for its superiority over the open appendectomy as when it is used for uncomplicated appendicitis. This is generally caused because of the high variety of postoperative complications reported in different series for complicated appendicitis. Material and methods. This prospective interventional clinical study analyzes 61 patients operated with laparoscopic and open appendectomy due to complicated appendicitis, with an end point of comparing the intra and postoperative complications in both groups. Results. Conversion in open appendectomy was forced in one patient (1.63%). The operative time was significantly shorter in the laparoscopic group (p = 0.048). Wound infection was significantly predominant in the open group (p = 0.045). Postoperative intraabdominal abscess occurred in one patient in the laparoscopic group (p = 0.52). The overall morbidity was 26.2% (7 patients in the laparoscopic, and 9 in the open group; p = 0.59). Length of stay was significantly shorter in the laparoscopic group (p = 0.00001). Conclusion. Certain significant advantages of the laparoscopic appendectomy as low incidence of wound infection, short hospitalization, less postoperative pain and faster socialization makes the laparoscopy up to date method in the treatment of complicated appendicitis.
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topic |
complicated appendicitis laparoscopic appendectomy open appendectomy complications |
url |
https://www.journals.vu.lt/lietuvos-chirurgija/article/view/18366 |
work_keys_str_mv |
AT andrejnikolovski complicationsafterlaparoscopicappendectomyforcomplicatedappendicitis AT shenoltahir complicationsafterlaparoscopicappendectomyforcomplicatedappendicitis AT dragoslavmladenovikj complicationsafterlaparoscopicappendectomyforcomplicatedappendicitis |
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1724652607818956800 |