Laparoscopic Appendectomy for Acute and Perforated Appendicitis: A Comparative Analysis

Abstract

INTRODUCTION[|]The purpose of this study was to compare the short-term outcomes of laparoscopically operated uncomplicated acute appendicitis and perforated appendicitis.[¤]METHODS[|]Laparoscopically operated uncomplicated acute and perforated appendicitis were screened, retrospectively. Demographics, operative variables, and postoperative complication rates were compared between the groups.[¤]RESULTS[|]Among 155 patients, acute appendicitis was found in 130 patients (77 [59.2%] male; median age, 32 [16–72]), while 25 patients (15 [60.0%] male; median age, 39 [17–84]) had perforated appendicitis. The duration of the operation and hospitalization period were 45 (20–105) minutes and 1 (1–6) day, respectively, in the acute appendicitis group, and 60 (20–155) minutes and 2 (1–16) days, respectively, in the perforated group. Total complication rates were statistically significantly higher in the perforated group.[¤]DISCUSSION AND CONCLUSION[|]Laparoscopic approach can be applied in selected cases of perforated appendicitis.[¤]

Keywords

• appendicitis
• complication; laparoscopic; perforation.