The Comparison of Open and Laparoscopic Appendectomy: Is There any Outcome Difference Between Non-Complicated and Complicated Appendicitis?

Yıl 2011, , 304 - 306, 01.03.2011

Ünal Bıçakcı Burak Tander Mithat Günaydın Rıza Rızalar Ender Aritürk Suat H. Ayyıldız Ferit Bernay

https://doi.org/10.5174/tutfd.2010.04604.1

Öz

Objective: The assessment of laparoscopic appendectomy (LA) and open appendectomy (OA) in patients with noncomplicated (NCA) and complicated appendicitis (CA) was aimed for. Material and Methods: Of 279 patients with appendectomy, 135 had NCA (48.3%) (49 underwent LA) (86M, 49F, median 9 years and144 had CA (51.7%) (23 underwent LA) (98M, 46F, median 11 years). Outcome measures: Wound infection (WI), intraabdominal abscess (IA), postoperative ileus (PI), requirement of reoperation (RO), time of surgery (TOS), length of stay (LOS), duration of postoperative pain (PP), nasogastric tube (NT), intraperitoneal drainage (ID) were recorded. Results: Between OA and LA groups, there was no statistical significance in WI(3/86 vs 0/49), IA(2/86 vs 0/49), RO(2/86 vs 2/49), and PI rate (1/86 vs 2/49) in NCA group (p>0.05). The LOS(3±1.4 vs 4±1.3), NT (1.2±0.9 vs 1.8±0.6 days) and PP(0.9±0.9 vs 2.3±1.1 days) were lower in LA than OA (p<0.05). There was no difference in TOS(79.5±27.3 vs 71.6±18.9 min) (p>0.05). In CA, patients with LA had less WI(0/23 vs 18/121) (p<0.05). NT (2±0.8 vs 2.7±1.5), PP (2.1±1.2 vs 3.2±1.5) and ID (3.1±2.3 vs 4.4±1.4) were lower in LA than OA (p<0.05). Conclusion: Laparoscopic appendectomy decreases wound infection, nasogastric tube duration, intraperitoneal drainage and pain in complicated appendicitis. The Laporoscopic approach is superior in complicated and noncomplicated appendicitis.

Anahtar Kelimeler

Non-complicated appendicitis, complicated appendicitis, laparoscopic appendectomy

The Comparison of Open and Laparoscopic Appendectomy: Is There any Outcome Difference Between Non-Complicated and Complicated Appendicitis?

Öz

Kaynakça

• Taqi E, Al Hadher S, Ryckman J, Su W, Aspirot A, Puligandla P, et al. Outcome of laparoscopic appendectomy for perforated appendicitis in children. J Pediatr Surg 2008;43:893-5.
• el Ghoneimi A, Valla JS, Limonne B, Valla V, Montupet P, Chavrier Y, et al. Laparoscopic appendectomy in children: report of 1379 cases. J Pediatr Surg 1994;29:786-9.
• Patrick DA. Prospective evaluation of a primary laparoscopic approach for children presenting with simple or complicated appendicitis. Am J Surg 2006;192:750-5.
• Khan MN, Fayyad T, Cecil TD, Moran BJ. Laparoscopic versus open appendectomy: the risk of postoperative infectious complications. JSLS 2007;11:363-7.
• International Pediatric Endosurgery Group Standards and Safety Committee. IPEG guidelines for appendectomy. J Laparosc & Advanced Surg Tech 2008;18:7-9.
• Krisher SL, Browne A, Dibbins A, Tkacz N, Curci M. Intraabdominal abcess after laparoscopic appendectomy for perforated appendicitis. Arch Surg 2001;136:438-41.
• Ball CG, Kortbeek JB, Kirkpatrick AW, Mitchell P. Laparoscopic appendectomy for complicated appendicitis. Surg Endosc 2004;18:969-73.
• Johnson AB, Peetz ME. Laparoscopic appendectomy is an acceptable alternative for the treatment of perforated appendicitis. Surg Endosc 1998;12:940-3.
• Golub R, Siddiqui F, Pohl D. Laparoscopic versus open appendectomy: A metaanalysis. J Am Coll Surg 1998;186:545-53.
• Paik PS, Towson JA, Anthone GJ, Ortega AE, Simons AJ, Beart RW Jr. Intraabdominal abscesses following laparoscopic and open appendectomies. J Gasrointest Surg 1998;1:188-93.
• Yau KK, Siu WT, Tang CN, Yang GP, Li MK. Laparoscopic versus open appendectomy for complicated appendicitis. J Am Coll Surg 2007;205:60-5.
• Kang KJ, Lim TJ, Kim YS. Laparoscopic appendectomy is feasible for the complicated appendicitis. Surg Laparosc Endosc Percutan Tech 2000;10:364-7.
• Paya K, Fakhari M, Rauhofer U, Felberbauer FX, Rebhandl W, Horcher E. Open versus laparoscopic appendectomy in children: A comparison of complications. JSLS 2000;4:121-4.
• Meguerditchian AN, Prasil P, Cloutier R, Leclerc S, Péloquin J, Roy G. Laparoscopic appendectomy in children: a favorable alternative in simple and complicated appendicitis. J Pediatr Surg 2002;37:695-8.
• McKinlay R, Neeleman S, Klein R, Stevens K, Greenfeld J, Ghory M, et al. Intraabdominal abscess following open and laparoscopic appendectomy in the pediatric population. Surg Endosc 2003;17:730-3.
• Pham VA, Pham HN, Ho TH. Laparoscopic appendectomy: An efficacious alternative for complicated appendicitis in children. Eur J Pediatr Surg 2009;19:157-9.
• Horwitz JR, Custer MD, May BH, Mehall JR, Lally KP. Should laparoscopic appendectomy be avoided for complicated appendicitis in children? J Pediatr Surg 1997;32:1601-3.
• Little DC, Custer MD, May BH, Blalock SE, Cooney DR. Laparoscopic Appendectomy: An unnecessary and expensive procedure in children?. J Pediatr Surg 2002;37:310-7.
• Yagmurlu A, Vernon A, Barnhart DC, Georgeson KE, Harmon CM. Laparoscopic appendectomy for perforated appendicitis: a comparison with open appendectomy. Surg Endosc 2006;20:1051-4.
• Mallick MS, Al-Qahtani A, Al-Bassam A. Laparoscopic appendectpmy is a favorable alternative for complicated appendicitis in children. Pediatr Surg Int 2007;23:257-9.
• Garg CP, Vaidya BB, Chengalath MM. Efficacy of laparoscopy in complicated appendicitis. Int J Surg 2009;7:250-2.