54 cases of acute appendicitis were operated laparoscopically. Patients wer
e divided into three groups according to postoperative pathological finding
s of appendix. (Group A: catarrhal (n= 9), Group B: phlegmonous (n= 30), Gr
oup C: gangrenous (n= 12)). Three cases were converted to open exploration.
A mean age was 31 yeas old. All of operation were done under general anest
hesia. No significant difference was detected in operation time and postope
rative period of NPO and severe pyrexia. Moreover, in Group C, length of st
ay was definitely same as Group A and B, even if period of bed rest was lon
ger than Group A. No drainage tubes were applied to any cases. There were n
o remarkable complications as wound infection or abdominal abscess after su
rgery except paralytic ileus in two patients. These results showed laparosc
opic appendectomy could be performed safely for any stage of acute appendic
itis without drainage. Laparoscopic technique can be a standard method for
acute appendicitis, and it will be better choice rather than traditional ap
pendicitis.