Improved Results with Laparoscopic Appendectomy for Perforated Appendicitis

Richard C Frazee, MD, Cassandra Cash, MD, Randall Smith, MD. Scott & White Clinic

Objective: To determine if results for laparoscopic appendectomy for perforated appendicitis have improved with 15 years of experience and advances in technology.

Methods: A retrospective review of 169 patients that underwent laparoscopic appendectomy in 2010 was performed. Of these, 25 were identified with perforated appendicitis and served as our study population. These patients were compared to 19 patients from 1995 with perforated appendicitis treated by laparoscopic appendectomy to determine if improvements in patient outcome have coincided with improvements in experience and technology. Patient demographics, length of hospitalization and complications were compared and analyzed for statistical significance.

Results: The two groups were similar regarding age and sex distribution. Significant improvements were seen in length of stay (2 days vs 7 days)and trends toward improvements in infectious complications (16% vs 36%), and mortality (0% vs 5%) were noted.

Conclusions: Experience and advances in medical technology have translated into improved results for laparoscopic appendectomy for perforated appendicitis with shorter hospitalization and a trend towards fewer complications.

Session: Poster
Program Number: P443
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