Although laparoscopic appendectomy has some advantages over open appendectomy, some reports do show more postoperative intraabdominal abscesses.
Dr Cueto and colleagues undertook a retrospective review of complicated appendicitis.
The appendicitis was managed surgically by 8 surgical groups from 6 countries.
Among 3433 patients with appendicitis, 1017 had complicated appendicitis.
The research team noted that complications included perforated or gangrenous appendicitis with or without localized or disseminated peritonitis.
There were 74 preoperative abscesses, and 5 small bowel obstructions.
The team reported that 1 patient died.
|There were 112 mostly minor complications with laparoscopic surgery|
The researchers identified 29 postoperative intraabdominal abscesses, and 112 mostly minor complications.
Conversion to laparotomy was necessary for 28 patients.
The surgical time ranged from 32 to 132 min, and the hospital stay ranged from 1 to 18 days.
Dr Cueto's team concluded, “The morbidity rates, particularly for intraabdominal abscesses, were less for laparoscopic appendectomy in complicated appendicitis than those reported in the literature for open appendectomy.”
“However, operating times and hospital stays were similar.”