Akademik Veri Yönetim Sistemi
Türk Kolon ve Rektum Hastalıkları Dergisi, cilt.20, ss.115-120, 2010 (Hakemli Dergi)
Purpose: Retrospective analysis of laparoscopic
appendectomies in our institution for clinical approach,
diagnostic methods and pathology results. We didn’t
aim to compare open appendectomy to laparoscopic
procedure.
Material ve Methods: Laparoscopic appendectomies
performed in our institution between March 2006 and
April 2008 were examined for demographic
characteristics, preoperative observation time,
preoperative white blood cell count, ultrasound and
abdominal CT findings, operative time, conversion rate
to open procedure, length of hospital stay, pathological
results, wound infection, development of intraabdominal
abscess, and long term follow up results.
Results: There were total of 132 laparoscopic
appendectomies during this period. Male -female ratios
and demographic results were all similar. Mean age of
perforated appendicitis was significantly higher than
that of the normal appendix cases. The lengths of the preoperative observation times, operation times and
hospitalization times were all remarkably high, but
statistically not significant, compared to the normal
appendix cases. Average WBC counts of perforated and
acute appendicitis cases were significantly higher than
normal appendix cases. The diagnostic sensitivities of
USG and CT scans were both high, but their specificities
were low. In our series there were no major complications
or intraabdominal abscesses.
Conclusion: Laparoscopic appendectomy is a safe and
short operation with minimal complications, short hospital
stay, and it may be used in perforated appendicitis as
well. Communication and feedback to radiologists may
improve diagnostic accuracy of USG and abdominal
CT. WBC counts are still essential and important.
Uncertain cases should be observed for longer periods,
especially young females.