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Langenbeck's Archives of Surgery
Published in: Langenbeck's Archives of Surgery 8/2010

01-11-2010 | Original Article

Unexpected findings on laparoscopy for suspected acute appendicitis: a pro for laparoscopic appendectomy as the standard procedure for acute appendicitis

Authors: Lars Ivo Partecke, Wolfram von Bernstorff, Annette Karrasch, Katharina Cziupka, Anne Glitsch, Albrecht Stier, Claus Dieter Heidecke, Jürgen Tepel

Published in: Langenbeck's Archives of Surgery | Issue 8/2010

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Abstract

Purpose

Evaluation of the feasibility, cost-effectiveness, time of surgery, morbidities, and other/additional findings during laparoscopy for suspected appendicitis.

Methods

Prospective evaluation of 148 laparoscopies for suspected acute appendicitis.

Results

Laparoscopic appendectomy was safe and cost-effective. No appendiceal stump leaks or wound infections occurred. Of the patients, 4.7% developed intra-abdominal abscesses. Mean time of all procedures was 47 min: 42 min for simple appendectomies (n = 126), 67 min for perforated appendicitis (n = 15), and 75 min for converted procedures (n = 7). Twenty-one of 148 (14.2%) patients had unexpected findings instead of appendicitis: inflamed epiploic appendices (three times), inflammatory disorders of intestine (five times), intestinal adhesions (two times), ovarian cysts (six times: one time with mesenteric lymphadenitis, one time ruptured), tubo-ovarian abscess (one time), tubal necrosis (one time), adnexitis with mesenteric lymphadenitis (one time), and acute cholecystitis (one time). These diagnoses might have been missed during conventional open appendectomy and were, if necessary, treated during laparoscopy.

Conclusions

Laparoscopic appendectomy should be recommended as standard procedure for acute appendicitis.
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Metadata
Title
Unexpected findings on laparoscopy for suspected acute appendicitis: a pro for laparoscopic appendectomy as the standard procedure for acute appendicitis
Authors
Lars Ivo Partecke
Wolfram von Bernstorff
Annette Karrasch
Katharina Cziupka
Anne Glitsch
Albrecht Stier
Claus Dieter Heidecke
Jürgen Tepel
Publication date
01-11-2010
Publisher
Springer-Verlag
Published in
Langenbeck's Archives of Surgery / Issue 8/2010
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-009-0567-8

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