Complications after Laparoscopic Appendectomy for Complicated Appendicitis
Original research work
Andrej Nikolovski
University Surgical Clinic “St. Naum Ohridski”, North Macedonia
Shenol Tahir
University Surgical Clinic “St. Naum Ohridski”, North Macedonia
Dragoslav Mladenovikj
University Surgical Clinic “St. Naum Ohridski”, North Macedonia
Published 2020-06-10
https://doi.org/10.15388/LietChirur.2020.19.23
PDF
HTML

Keywords

complicated appendicitis
laparoscopic appendectomy
open appendectomy
complications

How to Cite

1.
Nikolovski A, Tahir S, Mladenovikj D. Complications after Laparoscopic Appendectomy for Complicated Appendicitis. LS [Internet]. 2020Jun.10 [cited 2022Aug.13];19(1-2):34-1. Available from: https://www.journals.vu.lt/lietuvos-chirurgija/article/view/18366

Abstract

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.

PDF
HTML
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Please read the Copyright Notice in Journal Policy

Most read articles by the same author(s)