Laparoscopic treatment of perforated appendicitis |
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| Authors: | Heng-Fu Lin Hong-Shiee Lai I-Rue Lai |
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| Affiliation: | Heng-Fu Lin, Department of Surgery, Far-Eastern Memorial Hospital, Taipei 220, TaiwanHeng-Fu Lin, Department of Emergency Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei 100, TaiwanHong-Shiee Lai, I-Rue Lai, Department of Surgery, National Taiwan University Hospital, Taipei 100, TaiwanI-Rue Lai, Department of Anatomy and Cell Biology, Medical College, National Taiwan University, Taipei 100, Taiwan |
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| Abstract: | The use of laparoscopy has been established in improving perioperative and postoperative outcomes for patients with simple appendicitis. Laparoscopic appendectomy is associated with less wound pain, less wound infection, a shorter hospital stay, and faster overall recovery when compared to the open appendectomy for uncomplicated cases. In the past two decades, the use of laparoscopy for the treatment of perforated appendicitis to take the advantages of minimally invasiveness has increased. This article reviewed the prevalence, approaches, safety disclaimers, perioperative and postoperative outcomes of the laparoscopic appendectomy in the treatment of patients with perforated appendicitis. Special issues including the conversion, interval appendectomy, laparoscopic approach for elderly or obese patient are also discussed to define the role of laparoscopic treatment for patients with perforated appendicitis. |
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| Keywords: | Perforation Laparoscopic appendectomy Intra-abdominal abscess Cost |
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