Introduction: laparoscopic appendectomy (LA) has been established as a surgical technique in the management of acute appendicitis in several studies. Although LA is considered safe and effective in acute non-complicated cases, the technique is not gaining the same widespread acceptance in the complicated cases. The considerable high rate of conversion into open surgery and safety of the procedure in complicated cases makes the outcome somewhat different from that of the non-complicated cases. This study was designed to compare the outcome of the LA in both simple and complicated acute appendicitis. Methods: The study included ninety patients who were above 18 years of age with either acute simple or acute complicated appendicitis. There are divided into two groups (G1 & G2). G1 included complicated cases while G2 included simple cases. LA was performed to all patients. The outcome of the procedure in terms of rate of conversion to open surgery, operation time, hospital stay, time of return to work and the complications rate was compared between both groups. Results: Gl included 40 patients (44%) while G2 included 50 patients (56%). The operative time was significantly longer in Gl than G2 (115 ± 18.6 vs 65 ± 10.4) (P=0.02). Conversion to open surgery occurred in 11 patients (27.5%) of G1 and in 4 patients (8%) of G2 (P=0.01). The main causes of conversion were difficult skeletonization of the appendix and inability to control bleeding from non-visualized source. The overall length of hospital stay was significantly higher in G1 patients (P=0.02) while the time needed to return to work was statistically insignificant between both groups (P=0.12). The incidence of complications was greater in G1 (8/40) as compared to G2 (2/50) (P=0.001). There were no mortalities and no patients required re-operation in either group. Conclusion: LA is feasible and advantageous in both simple and complicated appendicitis. However; great caution and high level of experience are need in complicated cases because of its relatively high rates of complication and conversion to open procedure.
| Published in |
Journal of Surgery (Volume 5, Issue 3-1)
This article belongs to the Special Issue Minimally Invasive and Minimally Access Surgery |
| DOI | 10.11648/j.js.s.2017050301.15 |
| Page(s) | 23-27 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Laparoscopy, Complicated Appendicitis, Appendectomy
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APA Style
Abdelnaser Zaid, Mohammed Kottb, Emad Hokkam, Aly Saber. (2017). Laparoscopy in Simple and Complicated Appendicitis: How Does It Differ. Journal of Surgery, 5(3-1), 23-27. https://doi.org/10.11648/j.js.s.2017050301.15
ACS Style
Abdelnaser Zaid; Mohammed Kottb; Emad Hokkam; Aly Saber. Laparoscopy in Simple and Complicated Appendicitis: How Does It Differ. J. Surg. 2017, 5(3-1), 23-27. doi: 10.11648/j.js.s.2017050301.15
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Download@article{10.11648/j.js.s.2017050301.15,
author = {Abdelnaser Zaid and Mohammed Kottb and Emad Hokkam and Aly Saber},
title = {Laparoscopy in Simple and Complicated Appendicitis: How Does It Differ},
journal = {Journal of Surgery},
volume = {5},
number = {3-1},
pages = {23-27},
doi = {10.11648/j.js.s.2017050301.15},
url = {https://doi.org/10.11648/j.js.s.2017050301.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2017050301.15},
abstract = {Introduction: laparoscopic appendectomy (LA) has been established as a surgical technique in the management of acute appendicitis in several studies. Although LA is considered safe and effective in acute non-complicated cases, the technique is not gaining the same widespread acceptance in the complicated cases. The considerable high rate of conversion into open surgery and safety of the procedure in complicated cases makes the outcome somewhat different from that of the non-complicated cases. This study was designed to compare the outcome of the LA in both simple and complicated acute appendicitis. Methods: The study included ninety patients who were above 18 years of age with either acute simple or acute complicated appendicitis. There are divided into two groups (G1 & G2). G1 included complicated cases while G2 included simple cases. LA was performed to all patients. The outcome of the procedure in terms of rate of conversion to open surgery, operation time, hospital stay, time of return to work and the complications rate was compared between both groups. Results: Gl included 40 patients (44%) while G2 included 50 patients (56%). The operative time was significantly longer in Gl than G2 (115 ± 18.6 vs 65 ± 10.4) (P=0.02). Conversion to open surgery occurred in 11 patients (27.5%) of G1 and in 4 patients (8%) of G2 (P=0.01). The main causes of conversion were difficult skeletonization of the appendix and inability to control bleeding from non-visualized source. The overall length of hospital stay was significantly higher in G1 patients (P=0.02) while the time needed to return to work was statistically insignificant between both groups (P=0.12). The incidence of complications was greater in G1 (8/40) as compared to G2 (2/50) (P=0.001). There were no mortalities and no patients required re-operation in either group. Conclusion: LA is feasible and advantageous in both simple and complicated appendicitis. However; great caution and high level of experience are need in complicated cases because of its relatively high rates of complication and conversion to open procedure.},
year = {2017}
}
TY - JOUR T1 - Laparoscopy in Simple and Complicated Appendicitis: How Does It Differ AU - Abdelnaser Zaid AU - Mohammed Kottb AU - Emad Hokkam AU - Aly Saber Y1 - 2017/02/18 PY - 2017 N1 - https://doi.org/10.11648/j.js.s.2017050301.15 DO - 10.11648/j.js.s.2017050301.15 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 23 EP - 27 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.s.2017050301.15 AB - Introduction: laparoscopic appendectomy (LA) has been established as a surgical technique in the management of acute appendicitis in several studies. Although LA is considered safe and effective in acute non-complicated cases, the technique is not gaining the same widespread acceptance in the complicated cases. The considerable high rate of conversion into open surgery and safety of the procedure in complicated cases makes the outcome somewhat different from that of the non-complicated cases. This study was designed to compare the outcome of the LA in both simple and complicated acute appendicitis. Methods: The study included ninety patients who were above 18 years of age with either acute simple or acute complicated appendicitis. There are divided into two groups (G1 & G2). G1 included complicated cases while G2 included simple cases. LA was performed to all patients. The outcome of the procedure in terms of rate of conversion to open surgery, operation time, hospital stay, time of return to work and the complications rate was compared between both groups. Results: Gl included 40 patients (44%) while G2 included 50 patients (56%). The operative time was significantly longer in Gl than G2 (115 ± 18.6 vs 65 ± 10.4) (P=0.02). Conversion to open surgery occurred in 11 patients (27.5%) of G1 and in 4 patients (8%) of G2 (P=0.01). The main causes of conversion were difficult skeletonization of the appendix and inability to control bleeding from non-visualized source. The overall length of hospital stay was significantly higher in G1 patients (P=0.02) while the time needed to return to work was statistically insignificant between both groups (P=0.12). The incidence of complications was greater in G1 (8/40) as compared to G2 (2/50) (P=0.001). There were no mortalities and no patients required re-operation in either group. Conclusion: LA is feasible and advantageous in both simple and complicated appendicitis. However; great caution and high level of experience are need in complicated cases because of its relatively high rates of complication and conversion to open procedure. VL - 5 IS - 3-1 ER -
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