Title: Decreased Surgical Complications in Laparoscopic acute Appendicitis (Complicated vs Uncomplicated)
Authors: Dr N. Jagadeesh, Dr G. Varahala Raju, Dr S. Srinivasa Rao, Dr V. Tagore, Dr D. Lalitha Kumari
Objectives: postoperative surgical complications of sepsis in patients are debated with complicated acute appendicitis treated with laparoscopic appendectomy (LA).
The aim of this study was to investigate the results of LA in both complicated and uncomplicated cases of acute appendicitis.
Methods: From December 2016 to December 2018, 80 patients with acute appendicitis underwent LA by the same surgery team using the three-port technique. Data were collected and compared between complicated and uncomplicated acute appendicitis.
Results: Of the 80 patients (35 were women and 45 are men), 58 were uncomplicated and 22 are complicated acute appendicitis. The group with complicated acute appendicitis, as compared to the uncomplicated group, was significantly older (60 to18.5 years vs. 41.0 to 18.0 years), and had a significantly increased operation time (117 - 50 minutes vs. 90 - 50 minutes),longer length of hospital stay (12- 4 days vs. 5- 6.0 days) and higher conversion rate(25% vs. 3%). No increase in surgical complications were noted in the patients with complicated acute appendicitis, as compared to those with uncomplicated acute appendicitis.
Conclusion: This study demonstrated no increase in surgical complications after LA in patients with complicated acute appendicitis when compared with those who had uncomplicated disease. Therefore, LA may be considered the first-choice treatment option for both uncomplicated and complicated acute appendicitis.