Surgical Outcomes of Interval Laparoscopic Appendectomy for Appendiceal Abscess and Predictors of Conversion to Open Surgery

Sekine, Yoshihiro; Sugo, Hiroyuki; Miyano, Satoru; Watanobe, Ikuo; Machida, Michio; Kojima, Kuniaki

doi:10.1007/s12262-021-02819-w

Cited by 5 publications

(7 citation statements)

References 16 publications

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“…(10) Our results were better than a study by Sekine et al where 14 patients diagnosed with appendiceal abscess underwent emergency LA and conversion was done in 6 patients (43%) due to dense adhesions. (18) Regarding some surgical details, using an omental patch application on the appendicular stump technique was used in 13 patients (21.7%) in our study, 11 patients in the LA group (36.7%) and 2 patients in the OA group (6.7%) with a high statistical significance (P-value=0.005).…”

Section: Discussionmentioning

confidence: 68%

Laparoscopic Versus Open Appendicectomy in the Management of Complicated Appendicitis

Khorshid

Kotb

Marzouk

et al. 2022

Ain Shams Medical Journal

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Background: Laparoscopic appendicectomy (LA) is the preferred approach in uncomplicated appendicitis. However, in patients with complicated appendicitis (CA), the best approach is still unclear. Aim of the work:A prospective randomized study to compare the outcomes of LA and OA in management of CA regarding their efficacy, safety and postoperative complications.Patients and methods: 60 patients, admitted with a diagnosis of CA were divided into two groups, LA group and OA group, with 30 patients in each group. All patients were monitored for early and late postoperative complications with follow up in the out-patient clinics up to 12 month post-operative.Results: LA group had decreased incidence of postoperative surgical site infections (SSI) with comparable results regarding operative time, length of hospital stay, rates of hospital readmission and the need of re-operation. LA demonstrated considerable significant advantages over OA in CA regarding additional outcomes including decreased postoperative pain & increased cosmesis satisfaction. Conclusion:LA can be safely adopted in CA and can be performed safely with a low incidence of infectious complications.

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Section: Discussionmentioning

confidence: 68%

Laparoscopic Versus Open Appendicectomy in the Management of Complicated Appendicitis

Khorshid

Kotb

Marzouk

et al. 2022

Ain Shams Medical Journal

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“…US nding of suggestive of appendicular abscess was seen in 24(27.9%) and 25(29.1%) patients in Groups 1 and Group 2, respectively. Positive CT ndings of appendicular abscess were reported in 62(72.1%) & 61(70.9%) in group ( 1) & (2), respectively.as in table (1).…”

Section: Resultsmentioning

confidence: 78%

“…Patients in Laparoscopic groups presented with nausea, vomiting, fever, pain at right iliac fossa, tenderness at right iliac fossa and a mass felt at right iliac fossa with incidence of 43(50%), 39(45.3%), 38(44.2%), 19(22.1%), 22(25.6%), 22(25.6%) and, 18(20.9%) respectively. In Interventional radiology group, patients presented with nausea, vomiting, fever, pain at right iliac fossa, tenderness at right iliac fossa and a mass felt at right iliac fossa with incidence of 36(41.9%), 35(40.7%), 42(48.8%), 24(27.9%), 24(27.9%), 14(16.3%), and 15(17.4%), respectively.as in table (1). US nding of suggestive of appendicular abscess was seen in 24(27.9%) and 25(29.1%) patients in Groups 1 and Group 2, respectively.…”

Section: Resultsmentioning

confidence: 94%

“…So the nal number of the patients included in our study was 172 patients divided into equal groups (86 patients in the Laparoscopic group and 86 patients in the interventional radiology group). In laparoscopic drainage group 48(55.8%) patients of them were male and the mean age of the patients was (41.2 ± 12.2), while interventional radiology group 44 (51.2%) patients were male, and the mean age of the patients was (36.8 ± 10.9) as in table (1).…”

Section: Resultsmentioning

confidence: 98%

“…Abscess formation is one of the most serious complications of acute perforated appendicitis with an incidence of 2-10% (1) . In cases of acute appendicitis, the gold standard management is appendectomy, while in the setting of appendicular abscess, the standard treatment is still controversial (2) .…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic drainage versus interventional radiology for management of appendicular abscess: a randomized controlled trial

Negm,

Farag,

Allah

et al. 2024

The Egyptian Journal of Surgery

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Background Laparoscopic drainage of appendicular abscess has become a novel technique due to its advantages over interventional radiology like a complete exploration of the abdomen, exclusion of other pathologies, excision of the appendix at the same session, better cosmesis, decreased incidence of wound infection, better visualization of surgical field, fine handling of edematous tissue and drainage of multiple collections. Patients and methods This randomized controlled clinical trial included all patients who developed the manifestations of appendicular abscess and were referred to the Zagazig University Hospital Emergency Department between January 2020 and February 2022. The study was prospectively approved by the Zagazig University Faculty of Medicine Institutional Review Board (Approval Number: 9871/26-9-2022), and was retrospectively submitted to clinicaltrials.gov in June 2022 (ClinicalTrials.gov ID: NCT05419440). The sample size was 172 patients divided into two equal groups, a laparoscopic group involved 86 patients (group 1) and an interventional radiology group involved 86 patients (group 2). Results Group 1 (laparoscopic drainage group) included 86 patients: 55.8% were males, with a mean age of 41.2 SD 12.2 years-old, while group 2 (interventional radiology group) included 86 patients: 51.2% were males, with a mean age of 36.8 SD 10.9 years-old. The incidence of reported complications in group (1) was 1 (1.2%) for bowel injury, 3 (3.5%) for fecal fistula, 0 (0%) for recurrence, 0 (0%) for pelvic collection and 0 (0%) for mortality while in group (2) were 5 (5.8%) for bowel injury, 0 (0%) for fecal fistula, 3 (3.5%) for recurrence, 8 (9.3%) for pelvic collection and 1 (1.2%). The incidence rates of quality of life in group (1) were 48 (55.8%) for excellent quality of life, 38 (44.2%) for good quality of life and 0 (0%) for poor quality of life, unlike group (2), the incidence rates of quality of life were 12 (14%) for excellent quality of life, 59 (68.6%) for good quality of life and 15 (17.4%) for poor quality of life. Conclusion Laparoscopic management of appendicular abscess was safely applied in a good experienced hand without the need for interval appendectomy.

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