Laparoscopic appendectomy in surgical treatment of acute appendicitis
Relevance of the topic. At the present time laparoscopic appendectomy has taken its own place at the urgent surgery. In spite of this less is studied in the field of the use of the minimally invasive technologies in the cases of complicated acute appendicitis. The aim of research: to investigate...
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| Format: | Article |
| Language: | English |
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Zaporizhzhia State Medical and Pharmaceutical University
2016-06-01
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| Series: | Zaporožskij Medicinskij Žurnal |
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| Online Access: | http://zmj.zsmu.edu.ua/article/view/76987/73890 |
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| author | G. I. Ohrimenko N. G. Golovko V. A. Grushka D. A. Detsyk Ye. I. Haidarzhi A. A. Podluzhniy Ya. V. Terelya |
| author_facet | G. I. Ohrimenko N. G. Golovko V. A. Grushka D. A. Detsyk Ye. I. Haidarzhi A. A. Podluzhniy Ya. V. Terelya |
| author_sort | G. I. Ohrimenko |
| collection | DOAJ |
| description | Relevance of the topic. At the present time laparoscopic appendectomy has taken its own place at the urgent surgery. In spite of this less is studied in the field of the use of the minimally invasive technologies in the cases of complicated acute appendicitis.
The aim of research: to investigate the close results of the patients with acute appendicitis treatment with laparoscopic appendectomy, and to compare them with the open appendectomy results; to estimate the possibilities of laparoscopic appendectomy in the cases of complicated acute appendicitis.
Materials and methods. The results of surgical treatment of 146 patients with acute appendicitis were analyzed – 59 patients in the main group, who undergone laparoscopic appendectomy, and 80 patients in the control group, who undergone open surgery. 7 patients who passed through conversion were included in the additional group.
Results. The frequency of acute appendicitis complications, which were diagnosed during the operation, in the both groups had no significant distinction (50.8 % in the main group and 47.5% in the control group). But 5 patients with diffuse peritonitis and appendicular abscesses needed a conversion of laparoscopic operation into open one, because of the full sanitation necessity and technique difficulties. In the postoperative period among the patients of main group the suppuration of the wound was observed in 2 (3.4%) cases, in the control group – in 10 (12.5%). The average duration of laparoscopic operation was 33.12±2.51 min, open surgery – 66.45±3.33 min. The average hospitalization period in the control group was 6.95±0.2 days and was statistically proved higher than in the main group – 4.72±0.21 days (p≤0.01).
Conclusion. Laparoscopic appendectomy can be wide used in the cases of acute appendicitis, including complications, but it can be restricted in the cases of diffuse peritonitis and appendicular abscesses. This minimally invasive surgical operation allows to reduce significantly the duration of operation, the risk of postoperative complications and the average length of staying in the hospital. |
| format | Article |
| id | doaj-art-fd57e09ad56b4b51aaeedac26fa51178 |
| institution | OA Journals |
| issn | 2306-4145 2310-1210 |
| language | English |
| publishDate | 2016-06-01 |
| publisher | Zaporizhzhia State Medical and Pharmaceutical University |
| record_format | Article |
| series | Zaporožskij Medicinskij Žurnal |
| spelling | doaj-art-fd57e09ad56b4b51aaeedac26fa511782025-08-20T02:05:02ZengZaporizhzhia State Medical and Pharmaceutical UniversityZaporožskij Medicinskij Žurnal2306-41452310-12102016-06-0136770Laparoscopic appendectomy in surgical treatment of acute appendicitisG. I. Ohrimenko N. G. GolovkoV. A. GrushkaD. A. DetsykYe. I. HaidarzhiA. A. PodluzhniyYa. V. TerelyaRelevance of the topic. At the present time laparoscopic appendectomy has taken its own place at the urgent surgery. In spite of this less is studied in the field of the use of the minimally invasive technologies in the cases of complicated acute appendicitis. The aim of research: to investigate the close results of the patients with acute appendicitis treatment with laparoscopic appendectomy, and to compare them with the open appendectomy results; to estimate the possibilities of laparoscopic appendectomy in the cases of complicated acute appendicitis. Materials and methods. The results of surgical treatment of 146 patients with acute appendicitis were analyzed – 59 patients in the main group, who undergone laparoscopic appendectomy, and 80 patients in the control group, who undergone open surgery. 7 patients who passed through conversion were included in the additional group. Results. The frequency of acute appendicitis complications, which were diagnosed during the operation, in the both groups had no significant distinction (50.8 % in the main group and 47.5% in the control group). But 5 patients with diffuse peritonitis and appendicular abscesses needed a conversion of laparoscopic operation into open one, because of the full sanitation necessity and technique difficulties. In the postoperative period among the patients of main group the suppuration of the wound was observed in 2 (3.4%) cases, in the control group – in 10 (12.5%). The average duration of laparoscopic operation was 33.12±2.51 min, open surgery – 66.45±3.33 min. The average hospitalization period in the control group was 6.95±0.2 days and was statistically proved higher than in the main group – 4.72±0.21 days (p≤0.01). Conclusion. Laparoscopic appendectomy can be wide used in the cases of acute appendicitis, including complications, but it can be restricted in the cases of diffuse peritonitis and appendicular abscesses. This minimally invasive surgical operation allows to reduce significantly the duration of operation, the risk of postoperative complications and the average length of staying in the hospital.http://zmj.zsmu.edu.ua/article/view/76987/73890Laparoscopic AppendectomyOpen AppendectomyConversion |
| spellingShingle | G. I. Ohrimenko N. G. Golovko V. A. Grushka D. A. Detsyk Ye. I. Haidarzhi A. A. Podluzhniy Ya. V. Terelya Laparoscopic appendectomy in surgical treatment of acute appendicitis Zaporožskij Medicinskij Žurnal Laparoscopic Appendectomy Open Appendectomy Conversion |
| title | Laparoscopic appendectomy in surgical treatment of acute appendicitis |
| title_full | Laparoscopic appendectomy in surgical treatment of acute appendicitis |
| title_fullStr | Laparoscopic appendectomy in surgical treatment of acute appendicitis |
| title_full_unstemmed | Laparoscopic appendectomy in surgical treatment of acute appendicitis |
| title_short | Laparoscopic appendectomy in surgical treatment of acute appendicitis |
| title_sort | laparoscopic appendectomy in surgical treatment of acute appendicitis |
| topic | Laparoscopic Appendectomy Open Appendectomy Conversion |
| url | http://zmj.zsmu.edu.ua/article/view/76987/73890 |
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