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Efficiency of Laparoscopic Appendicectomy in Perforated Appendicitis
Risk factors for IAA include improper appendiceal stump 11. Fukami Y, Hasegawa H, Sakamoto E, Komatsu S, Hiromatsu T.
closure, inadequate peritoneal irrigation, and the use Value of laparoscopic appendectomy in perforated appendi-
of abdominal drains could equally affect the LA and citis. World J Surg 2007 Jan;31(1):93-97.
OA outcomes. Individual surgical skill and team effort 12. Sleem R, Fisher S, Gestring M, Cheng J, Sangosanya A, Stassen N,
Bankey P. Perforated appendicitis: is early laparoscopic
could lower the conversion rate and duration of operation appendectomy appropriate? Surgery 2009 Oct;146(4):731-737;
time as well. However, the delay for conversion might be discussion 737-738.
associated with more complications and morbidities. Rec- 13. Masoomi H, Mills S, Dolich MO, Ketana N, Carmichael JC,
ommendation for routine use of peritoneal irrigation and Nguyen NT, Stamos MJ. Comparison of outcomes of laparo-
abdominal drains in perforated appendicitis to reduce scopic versus open appendectomy in adults: data from the
IAA is individualized. Laparoscopic appendicectomy Nationwide Inpatient Sample (NIS), 2006-2008. J Gastrointest
Surg 2011 Dec;15(12):2226-2231.
might be effective for elderly and obese population. WSES 14. Frazee RC, Bohannon WT. Laparoscopic appendectomy for
2013 guideline also recommends laparoscopic manage- complicated appendicitis. Arch Surg 1996 May;131(5):509-511
44
ment in intraabdominal infections. As the endoscopic 15. Bonanni F, Reed J 3rd, Hartzell G, Trostle D, Boorse R, Gittle-
surgical performance and its outcome varies with the man M, Cole A. Laparoscopic versus conventional appendec-
tomy. J Am Coll Surg 1994 Sep;179(3):273-278.
surgeon’s skill, team effort, and instrumental advance- 16. Krisher SL, Browne A, Dibbins A, Tkacz N, Curci M. Intraab-
ment, it is not so easy to conclude the definitive role of LA dominal abscess after laparoscopic appendectomy for perfo-
in the management of perforated appendicitis. rated appendicitis. Arch Surg 2001 Apr;136(4):438-441.
17. Katsuno G, Nagakari K, Yoshikawa S, Sugiyama K, Fukunaga M.
CONCLUSION Laparoscopic appendectomy for complicated appendicitis:
a comparison with open appendectomy. World J Surg 2009
In perforated appendicitis, laparoscopic approach carries Feb;33(2):208-214.
definite advantages with less postoperative complications 18. Tuggle KR, Ortega G, Bolorunduro OB, Oyetunji TA, Alexan-
and better outcome. Especially in children and obese der R, Turner PL, Chang DC, Cornwell EE 3rd, Fullum TM.
group, it is a more feasible and better alternative than Laparoscopic versus open appendectomy in complicated
open approach in complicated appendicitis. appendicitis: a review of the NSQIP database. J Surg Res 2010
Oct;163(2):225-228.
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