Laparoscopic treatment of perforated appendicitis
Journal
World Journal of Gastroenterology
Journal Volume
20
Journal Issue
39
Pages
14338-14347
Date Issued
2014
Author(s)
Abstract
The use of laparoscopy has been established in improving perioperative and postoperative outcomes for patients with simple appendicitis. Laparoscopic appendectomy is associated with less wound pain, less wound infection, a shorter hospital stay, and faster overall recovery when compared to the open appendectomy for uncomplicated cases. In the past two decades, the use of laparoscopy for the treatment of perforated appendicitis to take the advantages of minimally invasiveness has increased. This article reviewed the prevalence, approaches, safety disclaimers, perioperative and postoperative outcomes of the laparoscopic appendectomy in the treatment of patients with perforated appendicitis. Special issues including the conversion, interval appendectomy, laparoscopic approach for elderly or obese patient are also discussed to define the role of laparoscopic treatment for patients with perforated appendicitis. ? 2014 Baishideng Publishing Group Inc. All rights reserved.
SDGs
Other Subjects
abdominal abscess; abdominal drainage; appendectomy; appendix perforation; geriatric patient; health care cost; hospital readmission; human; intermethod comparison; laparoscopic surgery; laparoscopy; length of stay; obesity; operation duration; outcome assessment; patient safety; perioperative period; peritoneum lavage; phlegmon; postoperative analgesia; postoperative period; randomized controlled trial (topic); Review; small intestine obstruction; surgical infection; surgical mortality; adverse effects; age; appendicitis; complication; cost benefit analysis; economics; laparoscopy; patient selection; Postoperative Complications; procedures; risk factor; treatment outcome; Age Factors; Appendectomy; Appendicitis; Cost-Benefit Analysis; Health Care Costs; Humans; Laparoscopy; Obesity; Patient Selection; Postoperative Complications; Risk Factors; Treatment Outcome
Publisher
WJG Press
Type
review