[Laparoscopic surgery for advanced appendicular peritonitis]. / Laparoskopicheskaya khirurgiya rasprostranennogo appendikulyarnogo peritonita.
Khirurgiia (Mosk)
; (5): 20-26, 2020.
Article
em Ru
| MEDLINE
| ID: mdl-32500685
ABSTRACT
OBJECTIVE:
To evaluate the results of laparoscopic treatment of patients with advanced appendicular peritonitis. MATERIAL ANDMETHODS:
There were 271 patients with acute appendicitis complicated by peritonitis. The main group consisted of patients who underwent laparoscopic appendectomy after diagnostic laparoscopy (n=231), the control group - diagnostic laparoscopy followed by conversion to median laparotomy (n=36). Four extremely ill patients were operated through laparotomy and excluded from the further analysis.RESULTS:
Diagnostic laparoscopy was performed in 267 patients with advanced appendicular peritonitis. Laparoscopic appendectomy, debridement and abdominal drainage were performed in 231 (85.2%) patients. Mean age of patients was 44±18.5 years, duration of disease - 36.2±20.3 hours. Diffuse peritonitis was diagnosed in 219 (82%) patients, advanced peritonitis - in 48 (16.5%) cases. Incidence of conversion was 13.5%. Mortality was absent in both groups. Postoperative morbidity was significantly higher in the conversion group (72.2% vs. 29.4%, p<0.0001).CONCLUSION:
Laparoscopic interventions for common appendicular peritonitis are feasible, effective and reduce postoperative morbidity.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Apendicite
/
Peritonite
Tipo de estudo:
Etiology_studies
/
Observational_studies
Limite:
Adult
/
Humans
/
Middle aged
Idioma:
Ru
Ano de publicação:
2020
Tipo de documento:
Article