Complicated appendicitis: Laparoscopic or conventional surgery?

Boris Kirshtein, Michael Bayme, Sergey Domchik, Solly Mizrahi, Leonid Lantsberg

Research output: Contribution to journalArticlepeer-review

24 Scopus citations

Abstract

Background: The surgical treatment of complicated appendicitis remains controversial. The aim of this study was to evaluate the role of laparoscopic appendectomy in the treatment of complicated appendicitis in comparison with open surgery. Methods: We reviewed the medical records of all patients who underwent an appendectomy for complicated appendicitis between January 2001 and August 2005. Results: We identified 98 patients with complicated appendicitis. Forty-eight patients underwent open appendectomy, 42 laparoscopic appendectomy, and 8 initial laparoscopy with conversion to open surgery. Older patients, patients with comorbidities, and female patients were more likely to have been offered a laparoscopic appendectomy. Operating time, time to solid oral intake, and time of hospital stay were prolonged in the laparoscopic group but not significantly. There was no mortality observed in either group, and the complication rate was similar in both groups. Conclusions: Laparoscopic appendectomy is an acceptable procedure for complicated appendicitis, with the same rate of infectious complications as the conventional approach.

Original languageEnglish
Pages (from-to)744-749
Number of pages6
JournalWorld Journal of Surgery
Volume31
Issue number4
DOIs
StatePublished - 1 Apr 2007
Externally publishedYes

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