medigraphic.com
Asociación Mexicana de Gastroenterología

2006, Number 1

<< Back Next >>

Rev Gastroenterol Mex 2006; 71 (1)

Laparoscopic appendectomy. Current role. Experience in the ABC Medical Center in the last five years

Spaventa IA, Decanini TC, Becerril MG, González LS, Menéndez SA, Gaertner WW, Arias GA, Hernández VF, Arriola SJ, Golffier RC

Language: Spanish
References: 34
Page: 31-38
PDF size: 86.02 Kb.


ABSTRACT

Objective: To compare the diagnostic and therapeutic accuracy of laparoscopic appendectomy versus open appendectomy. Background data: Appendectomy is the treatment of choice for acute appendicitis. Open Appendectomy (OA) has its complications rates (10-20%) and negative explorations in young women are about 25-30%. Acute appendicitis has a 3.1% morbidity and with perforation up to 47.2% and a mortality rate less than 1%. Advantages of laparoscopic appendectomy (LA) has been shown in many studies with lower intraoperatory and postoperatory complications, less hospitalization days, lower pain and faster return to daily activities when its compared with OA. Methods: We perform a retrospective and descriptive trial with 1,883 patients with acute appendicitis between January 2000 to September 2004. Patients smaller than 15 years old and with other postoperatory diagnosis were excluded. Ji2 and t Student statistic tests were performed. Results: We obtained 1,272 patients with acute appendicitis, 49% male and 51% female. LA was performed in 732 patients, 46.1% male and 53.9% female and OA was performed in 541 patients, 52.6% male and 47.3% female. Similar midage patients in both groups. LS was performed in 180 patients with complicated appendicitis and 116 patients by OA. LA was converted to open surgery in 4.5% patients. Morbidity was lower for laparoscopic group with statistical difference. There were no difference in fasting and hospitalization days. Conclusions: This procedure is a good choice for differential diagnosis overall in young women and complicated appendicitis with lower morbidity than the OA.


REFERENCES

  1. Mc Burney C. The incision made in the abdominal wall in cases of appendicitis, with a description of a new method of operating. Ann Surg 1894; 20: 38.

  2. Chiarugi M. Laparoscopic compared with open appendectomy for acute appendicitis: a prospective study. Eur J Surg 1996; 162: 385-90.

  3. Chang FC. The fate of the negative appendix. Am J Surg 1973; 126: 752-4.

  4. Semm K. Endoscopic appendectomy. Endoscopy 1983; 15: 59-64.

  5. Schreiber JH. Early experience with laparoscopic appendectomy in women. Surg Endosc 1987; 1: 211.

  6. Götz P, Pier A, Götz F, Bacher C. Laparoscopic appendectomy in 625 cases: from innovation to routine. Surg Laparosc Endosc 1991; 1: 8.

  7. Cueto J, Vazquez JA. Appendectomy. Chapter thirty nine. Laparoscopic Surgery 2003. Mc Graw-Hill: 287-293.

  8. Guller U, Hervey S, Purves H, et al. Laparoscopic versus open appendectomy. Outcomes comparison based on a large administrative database. Ann Surg 2004; 239(1): 43-52.

  9. Attwood SEA, Hill ADK, Murphy PG. A retrospective randomized trial of laparoscopic versus open appendectomy. Surgery 1992; 112: 497-501.

  10. Nowzaradan Y, Westmareland J, Mc Carver CT, Harris RJ. Laparoscopic appendectomy for acute appendicitis: indications and current use. J Laparosc Endosc Surg 1991; 1: 247-57.

  11. Oregan PJ. Laparoscopic appendectomy. Can J Surg 1991; 34: 256-8.

  12. Mc Anena OJ. Laparoscopic versus open appendectomy. Lancet 1991; 338: 693.

  13. Valle JS, Limonne B, Valle V. Laparoscopic appendectomy in children: report of 465 cases. Surg Laparosc Endosc 1991; 1: 166-72.

  14. Bonanni F, Reed J, Hartzell G, et al. Laparoscopic versus conventional appendectomy. J Am Coll Surg 1994; 179: 273-8.

  15. Maxwell JG, Robinson CL, Maxwell TG, et al. Deriving the indications for laparoscopic appendectomy from a comparison of the outcomes of laparoscopic and open appendectomy. Am J Surg 2001; 182(6): 287-96.

  16. Phillips S, Walton JM, Chin I, Farrokhyar F, et al. Ten-year experience with pediatric laparoscopic appendectomy. Are we getting better? J Pediatr Surg 2005; 40: 842-5.

  17. García A, Cano I, Benavent MI, Delgado MD, et al. Results of laparoscopic treatment of complicated apendicitis. Cir Pediatr 2005; 18: 8-12.

  18. Nguyen NT, Zainabadi K, Mavandadi S. Trends in utilization and outcomes of laparoscopic vs open appendectomy. Am J Surg 2004; 188: 813-20.

  19. Moberg AC, Berndsen F, Palmquist I. Randomized clinical trial of laparoscopic vs open appendectomy for confirmed appendicitis. Br J Surg 2005; 92: 784.

  20. Alvarado-Aparicio A, Moreno-Portillo M, Pereira-Graterol F, Rojano-Rodríguez M, et al. Apendicectomía laparoscópica. Descripción de la técnica y revisión de la literatura. Cir Ciruj 2003; 71(6): 442-8.

  21. Villazón O, Espinosa A, Cárdenas OA, et al. Apendicectomía por laparoscopia. Revisión de una serie. Rev Mex Cir Endoscop 2001; 2(3): 142-6.

  22. Cortez M, Burbano L, Cisneros A, Orbe M. La apendicectomía laparoscópica disminuye la incidencia de infecciones postoperatorias. Rev Mex Cir Endoscop 2002; 3(1): 13-5.

  23. Saverland S, Lefering R, Holthausen U. Laparoscopic versus conventional appendectomy a meta-analysis of randomized controlled trials. Langenbecks Arch Surg 1998; 383: 289-95.

  24. Golub R, Siddiqui F, Pohl D. Laparoscopic versus open appendectomy: a meta-analysis. J Am Coll Surg 1998; 186: 545-53.

  25. Garbutt JM, Soper NJ, Shonnon WD. Meta-analysis of randomized controlled trials comparing laparoscopic and open appendectomy. Surg Endosc 1999; 9: 17-26.

  26. Saverland S, Leferin R, Neugebauer EAM. Laparoscopic versus open surgery for suspected appendicitis. Coach Database Syst Rev 2003; 3.

  27. Johnson AB, Peetz ME. Laparoscopic appendectomy is an acceptable alternative for the treatment of perforated appendicitis. Surg Endosc 1998; 12: 940-3.

  28. Shiuh-Inn L, Siewart B, Raptopoulus V, Hodin RA. Factors associated with conversion to laparotomy in patients undergoing laparoscopic appendectomy. J Am Coll Surg 2002; 194(3): 170-8.

  29. Hellberg A, Rudberg C, Kullman E, et al. Prospective randomized multicentre study of laparoscopic versus open appendectomy. Br J Surg 1999; 186: 48-53.

  30. Villazón O, Espinoza A, Cárdenas O, et al. Appendectomy by minnimally invasive surgery. Rev Gastroenterol Méx 2004; 69: 58-64.

  31. Mancini GJ, Macini ML, Nelson HS Jr. Efficacy of laparoscopic appendectomy in appendicitis with peritonitis. Am Surg 2005; 71: 1-4.

  32. Novik B. Randomized clinical trial of laparoscopic vs open appendectomy for confirmed appendicitis. Br J Surg 2005; 92: 298-304.

  33. Asociación Mexicana de Cirugía General. Consenso Apendicitis 2004.

  34. Moore DE, Speroff T, Grogan E. Cost perspectives of laparoscopic and open appendectomy. Surg Endosc 2005; 19: 374-8.




2020     |     www.medigraphic.com