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Surgical Endoscopy
Published in: Surgical Endoscopy 5/2006

01-05-2006

Morbidity of laparoscopic surgery for complicated appendicitis: an international study

Authors: J. Cueto, B. D’Allemagne, J. A. Vázquez-Frias, S. Gomez, F. Delgado, L. Trullenque, R. Fajardo, S. Valencia, L. Poggi, J. Ballí, J. Diaz, R. González, J. H. Mansur, M. E. Franklin

Published in: Surgical Endoscopy | Issue 5/2006

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Abstract

Background

Although laparoscopic appendectomy has some advantages over open appendectomy, some reports do show more postoperative intraabdominal abscesses.

Methods

A retrospective review of complicated appendicitis managed surgically by eight surgical groups from six countries was undertaken. Among 3,433 patients with appendicitis, 1,017 (29.5%) had complicated appendicitis, which included perforated or gangrenous appendicitis with or without localized or disseminated peritonitis. There were 74 preoperative abscesses (7.4%) and 5 small bowel obstructions.

Results

One patient died. There were 29 postoperative intraabdominal abscesses (2.8%) and 112 mostly minor complications. Conversion to laparotomy was necessary for 28 patients (2.7%). The surgical time ranged from 32 to 132 min (mean, 62 min), and the hospital stay ranged from 1 to 18 days (mean, 3.5 days).

Conclusions

The morbidity rates, particularly for intraabdominal abscesses, were less for laparoscopic appendectomy in complicated appendicitis than those reported in the literature for open appendectomy, whereas operating times and hospital stays were similar.
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Metadata
Title
Morbidity of laparoscopic surgery for complicated appendicitis: an international study
Authors
J. Cueto
B. D’Allemagne
J. A. Vázquez-Frias
S. Gomez
F. Delgado
L. Trullenque
R. Fajardo
S. Valencia
L. Poggi
J. Ballí
J. Diaz
R. González
J. H. Mansur
M. E. Franklin
Publication date
01-05-2006
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 5/2006
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-005-0402-4

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