Home > Journals > Chirurgia > Past Issues > Chirurgia 2020 April;33(2) > Chirurgia 2020 April;33(2):84-8

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe PROMO
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Publication history
Reprints
Permissions
Cite this article as
Share

 

ORIGINAL ARTICLE   

Chirurgia 2020 April;33(2):84-8

DOI: 10.23736/S0394-9508.19.05002-2

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English

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

Harry GRBAS 1, Damir GREBIĆ 2 , Ante JERKOVIĆ 1, Damir KARLOVIĆ 1, Ana-Marija TOMAŠIĆ 3, Marijana RINČIĆ ANTULOV 4

1 Department of Abdominal Surgery, Clinical Hospital Center Rijeka, School of Medicine, University of Rijeka, Rijeka, Croatia; 2 Department of General and Oncological Surgery, Clinical Hospital Center Rijeka, School of Medicine, University of Rijeka, Rijeka, Croatia; 3 Department of Thoracic Surgery, Clinical Hospital Center Rijeka, School of Medicine, University of Rijeka, Rijeka, Croatia; 4 Department of Abdominal Surgery, South Jutland Hospital, Aabenraa, Denmark



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.


KEY WORDS: Appendicitis; Appendectomy; Laparoscopy

top of page