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The value of a laparoscopic interval appendectomy for treatment of a periappendiceal abscess: experience of a single medical center
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 04/26/2012
You KS et al. – The study revealed that initial conservative treatment and laparoscopic interval appendectomy represented a feasible and effective treatment for patients with a periappendiceal abscess.
Methods- Authors retrospectively studied 56 patients who had been admitted due to a periappendiceal abscess to Chungbuk National University Hospital from July 2005 to June 2010.
- Fifteen patients underwent an initial conservative treatment and interval appendectomy.
- Medical records were reviewed for the postoperative hospital course such as complications, time of initiation of diet, time since stopping antibiotics, symptoms’ relief period, and length of hospital stay.
- All patients received initial conservative treatment [percutaneous drainage insertion (1 case failed) and intravenous antibiotics], and the initial length of hospital stay was 11.6±4.3 days.
- Percutaneous drainage was removed a mean of 21.7±9.4 days after the initial treatment.
- Interval appendectomy was performed at a mean of 64.0±17.8 days after initial admission.
- The duration of use of intravenous antibiotics was a mean of 4.1±1.8 days after laparoscopic interval appendectomy.
- The complication rate was 1 (6.7%) and the open conversion rate was 1 (6.7%).
