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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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          World Journal of Laparoscopic Surgery, January-April 2018;11(1):38-42                             41
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