Pravish Rai Sookha, MD, PhD, D Luchmun, MD, PhD. Clinique du Nord
Introduction: We started performing laparoscopic appendicectomy in 2012, in a country where most cases are still done through open surgery.
Methods and Procedures: Through our first 115 cases of laparoscopic appendicectomy we selected 20 cases of gangrenous appendicitis. The results were compared with 20 cases of open gangrenous appendicectomy done previously in our hospital. Results were compared according to two list: 1st admission duration, surgery duration, wound infections, and 2nd bowel motility, oral alimentation and patient mobilization.
Results:
| Laparoscopy | Open | |
|
Admission duration (nights) |
2 | 6 |
|
Surgery duration(minutes) |
48 | 62 |
|
Wound infections |
1 | 12 |
|
Measured on Postop day |
Laparoscopy | Open |
|
Alimentation Started |
1 | 2 |
|
Bowel motility ascultation positive |
1 | 2 |
|
Mobilisation out of bed |
1 | 2 |
Conclusions:
Laparoscopic appendicectomy is feasible in gangrenous appendicitis, with no conversions in our small experience
Results of laparoscopic appendicectomy is better when compared to open approach, despite we did not compare results according to BMI (as we have a small number of patients)
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80182
Program Number: P068
Presentation Session: Poster (Non CME)
Presentation Type: Poster
