Efficiency of laparoscopic appendicectomy in perforated appendicitis

Abstract

Minimal access surgery is nowadays widely practiced in both diagnosis and management of various infective conditions of abdomen. Laparoscopic appendicectomy (LA) is a procedure of choice in acute or chronic appendicitis in any age group. Laparoscopy is also recommended in appendicolithiasis, perforated appendicitis, and appendicular abscess with evidence of less morbidity and hospital stay in comparison to open approach. Some studies reported formation of postoperative intra-abdominal abscess (IAA) and challenged the laparoscopic management in perforated appendicitis. We searched through internet for relevant articles with the keywords like LA in acute appendicitis, burst appendix, appendicular abscess, intra-abdominal abscess, perforated appendicitis, etc. Individual case report or case series lack in control group for comparison were excluded from our review. This study reviewed the efficacy of LA in perforated appendicitis. Parameters we concentrated were on operation techniques related to operation time, conversion rate, surgical site infection, IAA formation, hospital stay, use of analgesics, and the cost.