Laparoscopic approach in perforated appendicitis: increased incidence of surgical site infection?

Galli, Raffaele Alessandro Fabri; Banz Wüthrich, Vanessa; Fenner, H.; Metzger, J. (2013). Laparoscopic approach in perforated appendicitis: increased incidence of surgical site infection? Surgical endoscopy, 27(8), pp. 2928-2933. Springer US; http://www.springer-ny.com 10.1007/s00464-013-2858-y

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BACKGROUND: The role of laparoscopy in the setting of perforated appendicitis remains controversial. A retrospective study was conducted to evaluate the early postoperative outcomes of laparoscopic appendectomy (LA) compared to open appendectomy (OA) in patients with perforated appendicitis. METHODS: A total of 1,032 patients required an appendectomy between January 2005 and December 2009. Among these patients, 169 presented with perforated appendicitis. Operation times, length of hospital stay, overall complication rates within 30 days, and surgical site infection (SSI) rates were analyzed. RESULTS: Out of the 169 evaluated patients, 106 required LA and 63 OA. Although operation times were similar in both groups (92 ± 31 min for LA vs. 98 ± 45 for OA, p = 0.338), length of hospital stay was shorter in the LA group (6.9 ± 3.8 days vs. 11.5 ± 9.2, p < 0.001). Overall complication rates were significantly lower in the LA group (32.1 vs. 52.4 %, p < 0.001), as were incisional SSI (1.9 vs. 22.2 %, p < 0.001). Organ/space SSI rates were similar in both groups (23.6 % after LA vs. 20.6 % after OA, p = 0.657). CONCLUSIONS: For perforated appendicitis, LA results in a significantly shorter hospital stay, fewer overall postoperative complications, and fewer wound infections compared to OA. Organ/space SSI rates were similar for both procedures. LA provides a safe option for treating patients with perforated appendicitis.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine

UniBE Contributor:

Galli, Raffaele Alessandro Fabri and Banz Wüthrich, Vanessa

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0930-2794

Publisher:

Springer US; http://www.springer-ny.com

Language:

English

Submitter:

Lilian Karin Smith-Wirth

Date Deposited:

21 Apr 2015 15:49

Last Modified:

01 Aug 2018 02:30

Publisher DOI:

10.1007/s00464-013-2858-y

PubMed ID:

23443482

Uncontrolled Keywords:

Adult; Laparoscopy; Organ space infection; Perforated appendicitis

BORIS DOI:

10.7892/boris.66951

URI:

https://boris.unibe.ch/id/eprint/66951

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