Clinical Evaluation of Laparoscopic Appendectomy.
- Author:
Min Hwa LEE
;
Byung Joo SONG
;
Sang Yong CHOI
;
Sin Hee PARK
;
Chin Seung KIM
- Publication Type:Original Article
- Keywords:
Laparoscopic appendectomy;
Acute appendicitis
- MeSH:
Abscess;
Appendectomy*;
Appendicitis;
Appendix;
Diagnosis;
Diverticulitis;
Enteritis;
Female;
Hemorrhage;
Hospitalization;
Humans;
Inflammation;
Length of Stay;
Mesenteric Lymphadenitis;
Ovarian Cysts;
Retrospective Studies;
Subcutaneous Emphysema;
Surgical Instruments;
Wound Infection
- From:Journal of the Korean Society of Coloproctology
1998;14(3):551-560
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: This study was performed to evaluate our experience on laparoscopic appendectomy. METHODS: Retrospective analysis was performed on 2,856 patients who had been operated by laparoscopic appendectomy under diagnosis of acute appendicitis at the Sung-Ae Hospital and Kwang-Myoung Sung-Ae Hospital from October 1991 to July 1998. RESULTS: Among 2,856 patients who had undergone laparoscopic appendectomy,2,379 patients (83.3%) were operated due to simple acute appendicitis, 275 patients (9.6%) due to perforated appendicitis. Operation time was 44.6 minutes for simple acute appendicitis and 60.3 minutes for perforated appendicitis. In perforated appendicitis, intra-peritoneal irrigation and drain insertion was performed. The length of hospital stay in patient with simple acute appendicitis was 3.7 days (5.82 days in conventional appendectomy) and patients with perfotrated appendicitis was 6.1 days (9.91 days in conventional appen-dectomy). Complications such as wound infection, intra-abdomen abscess, trocar site bleeding, subcutaneous emphysema developed in 43 (1.5%) patients (79/1,947, 4.5% in conventional appendectomy). In 202 (7.1%) patients, appendix was normal, but another diseases were detected, including acute pelvic inflammation, ovarian cyst, mesenteric lymphadenitis, enteritis, diverticulitis in order. CONCLUSION: Overall complication rate was lower in laparoscopic appendectomy compared with conventional appendectomy and the length of hospitalization of laparoscopic appendectomy was shorter. When the acute appendicitis is suspected, especially in the reproductive women, the laparoscopic approach would be better diagnostic and therapeutic value than conventional method. Therefore laparoscopic appendectomy would be replaced with conventional appendectomy.
