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Laparoscopic interval appendectomy as standard of care

Hirotaka Sasada, PhD, Shuto Watanabe, Takemichi Suto, PhD, MD, Fuminori Wakayama, MD, Kohji Nagao, Tadashi Iwabuchi, MD, Nobuo Yagihashi, PhD, MD, Shunnichi Takaya, PhD, MD. Tsugaru General Hospital

Introduction: Conservative therapy is the first choice for acute appendicitis at our department, and after several months we perform laparoscopic appendectomy. We report laparoscopic interval appendectomy.

Subjects: The subjects comprised 81 patients who were performed laparoscopic appendectomy at our department between October 2012 and Jun 2017.

Results: There were 21 cases performed interval appendectomy, and 4 of 21 patients have abdominal abscess. There were 58 patients who performed early appendectomy after hospitalization. The patients who performed early appendectomy after failure of conservative therapy is 25 of 58 patients. There were no significant differences in the mean duration of operative time between interval appendectomy and early appendectomy (71.0 vs. 71.6 min). There were no significant differences in the mean volume of blood loss between interval appendectomy and early appendectomy (3.9 vs. 6.8 mL). The mean length of postoperative hospital stay for interval appendectomy was significantly shorter than that for early appendectomy (2.6 vs. 8.1days). Surgical site infection occurred in one patient after interval appendectomy. Other 6 postoperative complications developed after early appendectomy.

Conclusion: Laparoscopic interval appendectomy represents an effective surgical procedure. The duration of hospital stay was shortest in the interval appendectomy treated cases. Laparoscopic interval appendectomy decrease complications. Therefore, our departmental treatment strategy is to conservatively treat patients whenever possible and follow the laparoscopic procedure when surgery is indicated.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 88647

Program Number: P063

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

Post Views: 42

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