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- Title
Laparoscopic Appendectomy in a District Hospital: Does the Technique Influence the Outcome?
- Authors
Hussain, Abdulzahra; Mahmood, Hind; Singhal, Tarun; Balakrishnan, Santosh; El-Hasani, Shamsi
- Abstract
Background: Laparoscopic appendicectomy (LA) has proved to be a safe, effective procedure for appendicitis. However, its application in the current surgical practice is still far less than the laparoscopic cholecystectomy. Therefore, its role as a gold standard operation for acute appendicitis (AA) is less well established. Methods: Between September 1999 and January 2007, a series of 200 patients (112 female, 88 male) with AA underwent LA in our surgical unit. A single consultant surgeon performed all the cases. Outcomes, including the length of stay, operative time, and complications, were evaluated. Follow-up assessment of patients was performed by outpatient appointment. Results: The indications for LA were clinical diagnosis of AA for 177 patients (85) and interval appendicectomy for 23 patients (15). The mean age of these patients was 18.8 years (range, 883). Operative diagnosis of inflamed appendix, including perforated appendicitis in 9 patients (7.5), was made in 139 patients (69.5), and the appendix was macroscopically normal in 40 patients (20). Different pathologies were found in 21 patients (11.5). Of the 40 (20) macroscopically normal appendices, 10 (5) appendices were reported as inflamed by histopathology examination. The operative time ranged from 13 to 62 minutes, with a mean of 18 minutes. Minor morbidity was reported in 11 patients (5.5) Conclusion: In experienced hands using a meticulous technique, LA provides diagnostic and therapeutic options, decreased operative time, rapid recovery, short hospital stay, fewer postoperative complications, and no intra-abdominal abscesses. Appendicectomy has cured right iliac fossa pain in almost all the patients.
- Subjects
LAPAROSCOPIC surgery; APPENDICITIS; CHOLECYSTECTOMY; SURGICAL complications; GALLBLADDER surgery
- Publication
Journal of Laparoendoscopic & Advanced Surgical Techniques, 2008, Vol 18, Issue 2, p204
- ISSN
1092-6429
- Publication type
Article
- DOI
10.1089/lap.2007.0077