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World Journal of Surgery
Published in: World Journal of Surgery 1/2007

01-01-2007

Value of Laparoscopic Appendectomy in Perforated Appendicitis

Authors: Yasuyuki Fukami, MD, Hiroshi Hasegawa, MD, Eiji Sakamoto, MD, Shunichiro Komatsu, MD, Takashi Hiromatsu, MD

Published in: World Journal of Surgery | Issue 1/2007

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Abstract

Background

The purpose of this clinical study was to evaluate the efficacy of laparoscopic appendectomy in patients with perforated appendicitis.

Methods

This study involved a total of 73 consecutive patients who had undergone appendectomy for perforated appendicitis between January 1999 and December 2004. While 39 patients underwent open appendectomy (OA) during the first 3 years, the remaining 34 patients underwent laparoscopic appendectomy (LA) during the last 3 years.

Results

There was no case of LA converted to OA. No significant difference was found in the operating time between the two groups. Laparoscopic appendectomy was associated with less analgesic use, earlier oral intake restart (LA, 2.6 days; OA, 5.1 days), shorter median hospital stay (LA, 11.7 days; OA, 25.8 days), and lower rate of wound infections (LA, 8.8%; OA, 43.6%).

Conclusions

These results suggest that LA for perforated appendicitis is a safe procedure that may prove to have significant clinical advantages over conventional surgery.
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Metadata
Title
Value of Laparoscopic Appendectomy in Perforated Appendicitis
Authors
Yasuyuki Fukami, MD
Hiroshi Hasegawa, MD
Eiji Sakamoto, MD
Shunichiro Komatsu, MD
Takashi Hiromatsu, MD
Publication date
01-01-2007
Publisher
Springer-Verlag
Published in
World Journal of Surgery / Issue 1/2007
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-006-0065-x

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