Complications of the Laparoscopic Appendectomy

Česká verzia

Authors: V. Jatagandzidis; P. Herdegen; M. Mráček; M. Levý; J. Štefka
Authors place of work: Chirurgická klinika 1. lékařské fakulty Univerzity Karlovy v Praze a Fakultní Thomayerovy nemocnice s poliklinikou, Praha, přednosta: doc. MUDr. V. Visokai, Ph. D.
Published in the journal: Rozhl. Chir., 2007, roč. 86, č. 6, s. 288-290.
Category: Monothematic special - Original

Summary

706 appendectomic procedures using laparoscopy were performed in the Surgical Clinic of the FTN hospital during 2003–2005. The group’s mortality rate was nil, the morbidity rated 3.54%. The following complications were recorded: nine patients (1.27%) experienced infiltration in the right hypogastric region, which was confirmed on CT or ultrasound examinations, nine subjects (1.27%) suffered wound infections, two subjects (0.28%) developed subileus, in two subjects (0.28%) intraabdominal abscesses, and in one subject (0.14%) diffuse suppurative peritonitis were diagnosed, one subject (0.14%) developed intraabdominal hemorrhaging, in one subject (0.14%) intraabdominal hematoma was detected. Rates of complications in our group are similar to those presented in literature [1, 2, 3].

Based on their study group analysis, the authors found the laparoscopic appendectomy more beneficial for a patient than the open appendectomy.

Key words:
laparoscopic appendectomy – complications – revision

Zdroje

1. Katkhouda, N., Mason, R. J., Towfigh, S., Gevorgyan, A., Essani, R. Laparoscopic versus oper appendectomy. A prospective randomized double blind study. Ann. Surg., 2005; 242(3): 439–450.

2. Kazemier, G., Zeeuw, G. R., Lange, J. F., Hop, W. C. J., Bonjer, H. J. Laparoscopic vs open appendectomy. A randomized clinical trial. Surg. Endosc., 1997; 11: 336–340.

3. Wullstein, C., Barkhausen, S., Gross, E. Results of laparoscopic vs conventional appendectomy in complicated appendicitis. Dis. colon rectum, 2001; 44 (11): 1700–1705.

4. Piskun, G., Kozik, D., Rajpal, S., Shaftan, G., Fogler, R. Comparison of laparoscopic, open, and converted appendectomy for perforated appendicitis. Surg. Endosc., (2001) 15: 660–662.

5. Aziz, O., Athanasiou, T., Tekkis, P. P., Purkayastha, S., Haddow, J., Malinovski, V., Paraskeva, P., Darzi, A. Laparoscopic versus open appendectomy in childern. A meta-analysis. Ann. Surg., 2006; 243(1): 17–27.

6. Ignacio, R. C., Burke, R., Spencer, D., Bissell, C., Dorsainvil, C., Lucha, P. A. Laparoscopic versus open appendectomy: What is the real difference? Results of a prospective randomized double-blinded trial. Surg. Endosc., 2004; 18: 334–337.

7. Larry, C. M., Puente, I., Sosa, J. L., Bassin, A., Breslaw, R., McKennedy, M. G., Ginzburg, E., Sleeman, D. Open versus laparoscopic appendectomy. A prospective randomized comparison. Ann. Surg., 1995; 222(3): 256–262.

8. Frizelle, F. A., Hanna, G. B. Pelvic abscess following laparoscopic appendectomy. Surg. Endosc., (1996) 10: 947–948.

9. Tang, E., Ortega, A. E., Anthone, G. J., Beart, R. W. Intraabdominal abscesses following laparoscopic and open appendectomies. Surg. Endosc., 1996; 120: 327–328.

10. Ball, C. G., Kortbeek, J. B., Kirkpatrick, A. W., Mitchell, P. Laparoscopic appendectomy for complicated appendicitis. Surg. Endosc., (2004) 18: 969–973.

11. Johnson, A. B., Peetz, M. E. Laparoscopic appendectomy is an acceptable alternativě for the treatement of perforated appendicitis. Surg. Endosc., (1998) 12: 940–943.

12. Enochsson, L., Hellberg, A., Rudberg, C., Fenyo, G., Gudbjartson, T., Kullman, E., Ringqvist, I., Sorensen, S., Wenner, J. Laparoscopic vs open appendectomy in overweight patients. Surg. Endosc., 2001; 15: 387–392.