Laparoscopic appendectomy for the treatment of acute appendicitis: A single center experience

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Published: May 1, 2018
Keywords:
Alvarado Score, Laparoscopic appendectomy, Open appendectomy

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Giuseppe Carbotta
General Surgery Unit, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy,
Antonella Del Vecchio
General Surgery Unit, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy,
Antonio Prestera
General Surgery Unit, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy,
Rita Laforgia
General Surgery Unit, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy,
Maria Grazia Sederino
General Surgery Unit, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy,
Giovanni Casamassima
General Surgery Unit, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy,
Marina Minafra
General Surgery Unit, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy,
Salvatore Fedele
General Surgery Unit, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy,
Giovanni Balducci
General Surgery Unit, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy,
Nicola Palasciano
General Surgery Unit, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy,

Abstract





AIM: The aim of our study is to compare the pre, intra- and post-operative variables of the two surgical techniques, to demonstrate if laparoscopic appendectomy can be considered safer and associated to better outcome.


MATERIAL OF STUDY: A retrospective analysis of 175 patients has been carried out. Alvarado score, time of surgery, analgesic therapy and length of hospital stay calculated. Finally, postoperative complications were recorded.


RESULTS: From January 2011 - April 2016 175 patients were enrolled: 128pts underwent laparoscopic technique and 47pts open technique. The average value of Alvarado score is lower in LA group than in OA group just as the aver- age time of surgery and the use of post-operative analgesic therapy.


DISCUSSION: LA has become the surgical technique mostly performed for the treatment of simple and complicated acute appendicitis. Our study shows that LA pts are younger with a statistically significant difference


CONCLUSIONS: Most of the emergency appendectomies were performed via laparoscopic technique, especially in young patients. Laparoscopy is safer and associated to better outcome.





Article Details

How to Cite
Giuseppe Carbotta, et al. “Laparoscopic Appendectomy for the Treatment of Acute Appendicitis: A Single Center Experience”. Annali Italiani Di Chirurgia, vol. 89, no. 3, May 2018, pp. 278-82, https://annaliitalianidichirurgia.it/index.php/aic/article/view/1115.
Issue
Vol. 89 No. 3 (2018)
Section
Case Report