Efficacy of Laparoscopy in Complicated Appendicitis | ||
| Ain Shams Journal of Surgery | ||
| Volume 18, Issue 1, January 2025, Pages 57-66 PDF (1.19 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asjs.2025.346005.1172 | ||
| Authors | ||
| Mohamed W. Arafa* ; Ayman Mohammad Ahmad Ali | ||
| Department of General Surgery, Faculty of Medicine, Sohag University, Egypt | ||
| Abstract | ||
| Introduction: Laparoscopic appendectomy (LA) is the recommended treatment for uncomplicated appendicitis and is increasingly preferred nowadays over open appendectomy (OA), the ideal procedure for patients with complex appendicitis (CA)is debatable. Aim of work: This study aims to evaluate the effectiveness of the LA and OA techniques in individuals with CA. Patients and methods: 80 patients were enrolled in this trial between November 2022 and August 2024, 58 had LA while 22 underwent OA. Demographics, operating time, hospital stay and postoperative complications were gathered and evaluated. Results: Although LA demonstrated significantly more time-consuming than open approach (p 0.0002), it was linked to a considerably lower median hospital stay (p <0.05) and significantly less analgesic usage (p <0.05). The LA group’s oral intake resumed earlier than the OA groups but this difference was statistically insignificant. A fewer incidence of wound infections was linked to LA (p=0.0005). While there were no appreciable differences between the two groups, two patients in the OA group and four in the LA group developed an intra-abdominal abscess. Two patients in the LA group and two in the OA group had postoperative ileus; there were no appreciable differences between the two groups. Fecal fistula was observed in one of OA patients (4.5%), and it resolved conservatively ten days later. One patient in the OA group had adhesive intestinal obstruction and no mortality were reported in both groups. Conclusion: LA is a better option for patients with complicated appendicitis since it is safe and has a lower rate of readmission and wound infection while other complications are comparable to OA. | ||
| Keywords | ||
| Appendicitis; complicated appendicitis; laparoscopic appendectomy | ||
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