Laparoscopic appendectomy is beneficial approach for acute appendicits

Citation
K. Otsuka et al., Laparoscopic appendectomy is beneficial approach for acute appendicits, 7TH WORLD CONGRESS OF ENDOSCOPIC SURGERY, 2000, pp. 673-676
Citations number
4
Categorie Soggetti
Current Book Contents
Year of publication
2000
Pages
673 - 676
Database
ISI
SICI code
Abstract
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.