Naslov
Comparison of laparoscopic and classic appendectomy at clinical hospital center Rijeka over a ten year period

Autori
Grbas, Harry ; Grebić, Damir ; Jerković, Ante ; Karlović, Damir ; Tomašić, Ana-Marija ; Rinčić Antulov, Marijana

Izvornik
Chirurgia (0394-9508) 33 (2020), 2; 84-88

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Appendicitis ; Appendectomy ; Laparoscopy

Sažetak
BACKGROUND: The aim of this paper was to compare laparoscopic and classic appendectomy over a ten-year period to the complications and recovery rate of patients. METHODS: In the period from the beginning of 2007 to the end of 2016, a total of 1480 patients with laparoscopic approach and 1220 patients with classic approach (including 65 patients converted to open appendectomy - 2.4%) were operated at Clinical Hospital Center Rijeka, Croatia. 43% (1161 patients) of the total number of patients were female and the remaining were men (1539 patients, 57%). RESULTS: Out of 1480 patients with laparoscopic approach, 212 (14%) had peritonitis due to perforated appendicitis, compared to 193 (16%) among 1220 patients with classic approach. Among the laparoscopic appendectomies there were 242 (16%) gangrenous appendicitis without perforation, and 220 (18%) among the classic appendectomies. Other patients had acute phlegmonous appendicitis. Postoperative wound infection was the most common complication in 83 (5.6%) patients operated by laparoscopic approach and in 105 (8.6%) of classic operated patients. Postoperative hematoma of the wound had 25 (2%) of the classic operated patients versus 4 patients (0.2%) operated by laparoscopic approach. Douglas abscess had 92 (7.5%) of the classic operated patients, and 42 (2.8%) of the patients operated by laparoscopic surgery. The average duration of hospitalization in laparoscopic operated patients was two days, in the classic operated three days. CONCLUSIONS: Laparoscopic appendectomy is a less invasive operation with shorter recovery time, minor complications, and faster early onset of per os nutrition and return to everyday life.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA