Entrar/Registro  
HOME SPANISH
 
Cirujano General
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Cirujano General >Year 2010, Issue 3


García-Romero LE, Bolaños-Badillo LE, Carrasco-Rojas JA, Betancourt-García JR
Is laparoscopic appendectomy adequate for complicated appendicitis?
Cir Gen 2010; 32 (3)

Language: Español
References: 29
Page: 175-179
PDF: 4. Kb.


Full text




ABSTRACT

Objective: To compare the efficacy of open versus laparoscopic appendectomy in cases of complicated appendicitis.
Setting: Third level health care institution, Hospital Ángeles del Pedregal, Mexico City.
Design: Retrospective, transversal, comparative study.
Statistical analysis: Chi square and Student’s t test.
Patients and methods: Group 1 (G1), open appendectomy and group 2 (G2), laparoscopic appendectomy. Evaluated variables were: age, gender, days of hospital stay, time of evolution, surgical procedure performed, drainage used, postsurgical complications, and cause and number of surgical reoperations.
Results: Hundred-seven patients were included in the study: G1 n = 39, men 27 (69.23%) and women 12 (30.77%), mean age 34.6 ± 15.6 years (range 2-68 years); G2 n = 68, men 35 (51.47%) and women 33 (48.53%), mean age 36.9 ± 24.33 years (range 3-80 years). Mean in-hospital stay in G1 was 4 ± 2.3 days and 4.4 ± 2.29 in G2. There were complications in 19 cases (17.7%), 9 in G1 (23%) and 10 in G2 (14.7%). Six patients required reoperation, two (5.1%) in G1 and four (5.8%) in G2. No statistically significant difference (p › 0.05) was found between groups.
Conclusions: There was no difference between an open and a laparoscopic approach as treatment option in cases of complicated appendicitis.


Key words: Appendicitis, laparoscopic surgery, appendectomy.


REFERENCIAS

  1. Guller U, Jain N, Peterson ED, Muhlbaier LH, Eubanks S, Pietrobond R. Laparoscopic appendectomy in the elderly. Surgery 2004; 135: 479-488.

  2. Paulson EK, Kalady MF, Pappas TN. Clinical practice. Suspected appendicitis. N Engl J Med 2003; 348: 236-242.

  3. Schwartz SI. Apéndice. En: Principios de Cirugía. 1995. McGraw-Hill, 1347-1358.

  4. Sweeney KJ, Keane FB, Moving from open to laparoscopic appendicectomy. Br J Surg 2003; 90: 257-258.

  5. Liu SI, Siewert B, Raptopoulos V, Hodin RA, Factors associated with conversion to laparotomy in patients undergoing laparoscopic appendectomy. J Am Coll Surg 2002; 194: 298-305.

  6. Carrasco-Rojas JA, León-Merino G. Apendicectomía por Cirugía Endoscópica en Cirugía Endoscópica. Intersistemas, 2002: 171-176.

  7. Moreno-Sanz C, Pascual-Pedreño A, Picazo-Yeste J, Seoane-González JB. Laparoscopic appendectomy during pregnancy: between personal experiences and scientific evidence. J Am Coll Surg 2007; 205: 37-42.

  8. Kim CB, Kim MS, Hong JH, Lee HY, Yu SH. Is laparoscopic appendectomy useful for the treatment of acute appendicitis in Korea?: A Meta-Analysis. Med J 2004; 45: 7-16.

  9. Katkhouda N, Mason RJ, Towfigh S, Gevorgyan A, Essani R. Laparoscopic versus open appendectomy: a prospective randomized double-blind study. Ann Surg 2005; 242: 439-450.

  10. Clasificación Estadística Internacional de Enfermedades y Problemas Relacionados con la Salud. 10ª Revisión., OPS 1995.

  11. Guller U, Hervey S, Purves H, Muhlbaier LH, Peterson ED, Eubanks S, et al. Laparoscopic versus open appendectomy: outcomes comparison based on a large administrative database. Ann Surg 2004; 239: 43-52.

  12. Goloub R, Siddiqui F, Pohl D. Laparoscopic versus open appendectomy: a metaanalysis. J Am Coll Surg 1998; 186: 545-553.

  13. Merhoff AM, Merhoff GC, Franklin ME. Laparoscopic versus open appendectomy. Am J Surg 2000; 179: 375-378.

  14. Yau KK, Siu WT, Tang CN, Yang GP, Li MK. Laparoscopic versus open appendectomy for complicated appendicitis. J Am Coll Surg 2007; 205: 60-65.

  15. Lin HF, Wu JM, Tseng LM, Chen KH, Huang SH, Lai IR. Laparoscopic versus open appendectomy for perforated appendicitis. J Gastrointest Surg 2006; 10: 906-10.

  16. So JB, Chiong EC, Chiong E, Cheah WK, Lomanto D, Goh P, et al. Laparoscopic appendectomy for perforated appendicitis. World J Surg 2002; 26: 1485-1488.

  17. Pokala N, Sadhasivam S, Kiran RP, Parithivel V. Complicated appendicitis--is the laparoscopic approach appropriate? A comparative study with the open approach: outcome in a community hospital setting. Am Surg 2007; 73: 737-742.

  18. Alvarado-Aparicio A, Moreno-Portillo M, Pereira-Graterol F, Rojano-Rodríguez M, González-Monroy L, Palacios-Ruiz A. Apendicectomía laparoscópica. Descripción de la técnica y revisión de la literatura. Cir Ciruj 2003; 71: 442-448.

  19. Krisher SL, Browne A, Dibbins A, Tkacz N, Curci M. Intra-abdominal abscess alter laparoscopic appendectomy for perforated appendicitis. Arch Surg 2001; 136: 438-441.

  20. Lintula H, Kokki H, Vanamo K. Single-blind randomized clinical trial of laparoscopic versus open appendicectomy in children. Br J Surg 2001; 88: 510-514.

  21. Kurtz RJ, Heimann TM. Comparison of open and laparoscopic treatment of acute appendicitis. Am J Surg 2001; 182: 211-214.

  22. Corneille MG, Steigelman MB, Myers JG, Jundt J, Dent DL, Lopez PP, et al. Laparoscopic appendectomy is superior to open appendectomy in obese patients. Am J Surg 2007; 197: 877-881.

  23. Cortez M, Burbano L, Cisneros A, Orbe M, Hinostroza I. La apendicectomía laparoscópica disminuye la incidencia de infecciones postoperatorias. Rev Mex Cir Endosc 2002; 3: 13-15.

  24. Sauerland S, Lefering R, Neugebauer EA. Laparoscopic versus open surgery for suspected appendicitis. Cochrane Database Syst Rev 2004: CD001546.

  25. Nguyen NT, Zainabadi K, Mavandadi S, Paya M, Stevens CM, Root J, et al. Trends in utilization and outcomes of laparoscopic versus open appendectomy. Am J Surg 2004; 188: 813–820.

  26. Cothren CC, Moore EE, Johnson JL, Moore JB, Ciesla, DJ, Burch JM. Can we afford to do laparoscopic appendectomy in an academic hospital? Am J Surg 2005; 190: 950–954.

  27. Spaventa IA, Decanini TC, Becerril MG, González LS, Menéndez SA, Gaertner WW, et al. Apendicectomía laparoscópica. Lugar actual. Experiencia del Centro Médico ABC en los últimos cinco años. Rev Gastroenterol Mex 2006; 71: 31-38.

  28. Tzovaras GM. Laparoscopic appendectomy: differences between male and female patients with suspected acute appendicitis. World J Surg 2007; 31: 409-413.

  29. Ekeh AP, Wozniak CJ, Monson B, Crawford J, McCarthy MC. Laparoscopy in the contemporary management of acute appendicitis. Am J Surg 2007; 193: 310-314.






>Journals >Cirujano General >Year 2010, Issue 3
 

· Journal Index 
· Links 






       
Copyright 2019