Surgical Outcomes of Interval Laparoscopic Appendectomy for Appendiceal Abscess and Predictors of Conversion to Open Surgery
Abstract The present study was performed to clarify the benefits of interval laparoscopic appendectomy (ILA) for appendiceal abscess by comparison with emergency laparoscopic appendectomy (ELA), and to identify any risk factors associated with conversion to open ILA. Among 903 adult patients with ac...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Sekine, Yuuki [verfasserIn] |
|---|
| Format: |
E-Artikel |
|---|---|
| Sprache: |
Englisch |
| Erschienen: |
2021 |
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| Schlagwörter: |
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| Anmerkung: |
© Association of Surgeons of India 2021 |
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| Übergeordnetes Werk: |
Enthalten in: Indian Journal of Surgery - Springer-Verlag, 2007, 83(2021), Suppl 3 vom: 19. März, Seite 755-760 |
|---|---|
| Übergeordnetes Werk: |
volume:83 ; year:2021 ; number:Suppl 3 ; day:19 ; month:03 ; pages:755-760 |
| Links: |
|---|
| DOI / URN: |
10.1007/s12262-021-02819-w |
|---|
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SPR046085084 |
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| 520 | |a Abstract The present study was performed to clarify the benefits of interval laparoscopic appendectomy (ILA) for appendiceal abscess by comparison with emergency laparoscopic appendectomy (ELA), and to identify any risk factors associated with conversion to open ILA. Among 903 adult patients with acute appendicitis, we conducted a retrospective analysis of 58 patients with appendiceal abscess who had undergone either ILA after conservative treatment (ILA group; n = 44) or ELA (ELA group; n = 14). The two groups were compared with regard to surgical outcomes, and the risk factors for conversion to open surgery were also estimated in the ILA group. ILA was superior to ELA in terms of blood loss (median 5 ml vs. 50 ml; p < 0.01), rate of conversion to open surgery (16% vs. 43%; p < 0.05), postoperative hospital stay (median 4 days vs. 8 days; p < 0.01), and morbidity (7% vs. 36%; p < 0.01). In the ILA group, analysis of clinical factors showed that a higher C-reactive protein level, escalation of antibiotic treatment, and longer hospitalization during conservative treatment were significantly associated with conversion. Interval laparoscopic appendectomy following conservative treatment is less invasive and has lower morbidity. However, the presence of severe inflammation at the time of conservative treatment substantially affects conversion from laparoscopic to open surgery. | ||
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10.1007/s12262-021-02819-w doi (DE-627)SPR046085084 (SPR)s12262-021-02819-w-e DE-627 ger DE-627 rakwb eng Sekine, Yuuki verfasserin aut Surgical Outcomes of Interval Laparoscopic Appendectomy for Appendiceal Abscess and Predictors of Conversion to Open Surgery 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Association of Surgeons of India 2021 Abstract The present study was performed to clarify the benefits of interval laparoscopic appendectomy (ILA) for appendiceal abscess by comparison with emergency laparoscopic appendectomy (ELA), and to identify any risk factors associated with conversion to open ILA. Among 903 adult patients with acute appendicitis, we conducted a retrospective analysis of 58 patients with appendiceal abscess who had undergone either ILA after conservative treatment (ILA group; n = 44) or ELA (ELA group; n = 14). The two groups were compared with regard to surgical outcomes, and the risk factors for conversion to open surgery were also estimated in the ILA group. ILA was superior to ELA in terms of blood loss (median 5 ml vs. 50 ml; p < 0.01), rate of conversion to open surgery (16% vs. 43%; p < 0.05), postoperative hospital stay (median 4 days vs. 8 days; p < 0.01), and morbidity (7% vs. 36%; p < 0.01). In the ILA group, analysis of clinical factors showed that a higher C-reactive protein level, escalation of antibiotic treatment, and longer hospitalization during conservative treatment were significantly associated with conversion. Interval laparoscopic appendectomy following conservative treatment is less invasive and has lower morbidity. However, the presence of severe inflammation at the time of conservative treatment substantially affects conversion from laparoscopic to open surgery. Appendiceal mass (dpeaa)DE-He213 Laparoscopic appendectomy (dpeaa)DE-He213 Interval appendectomy (dpeaa)DE-He213 Conversion (dpeaa)DE-He213 Sugo, Hiroyuki (orcid)0000-0002-3958-2082 aut Miyano, Shozo aut Watanobe, Ikuo aut Machida, Michio aut Kojima, Kuniaki aut Enthalten in Indian Journal of Surgery Springer-Verlag, 2007 83(2021), Suppl 3 vom: 19. März, Seite 755-760 (DE-627)SPR024596493 nnns volume:83 year:2021 number:Suppl 3 day:19 month:03 pages:755-760 https://dx.doi.org/10.1007/s12262-021-02819-w lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 83 2021 Suppl 3 19 03 755-760 |
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10.1007/s12262-021-02819-w doi (DE-627)SPR046085084 (SPR)s12262-021-02819-w-e DE-627 ger DE-627 rakwb eng Sekine, Yuuki verfasserin aut Surgical Outcomes of Interval Laparoscopic Appendectomy for Appendiceal Abscess and Predictors of Conversion to Open Surgery 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Association of Surgeons of India 2021 Abstract The present study was performed to clarify the benefits of interval laparoscopic appendectomy (ILA) for appendiceal abscess by comparison with emergency laparoscopic appendectomy (ELA), and to identify any risk factors associated with conversion to open ILA. Among 903 adult patients with acute appendicitis, we conducted a retrospective analysis of 58 patients with appendiceal abscess who had undergone either ILA after conservative treatment (ILA group; n = 44) or ELA (ELA group; n = 14). The two groups were compared with regard to surgical outcomes, and the risk factors for conversion to open surgery were also estimated in the ILA group. ILA was superior to ELA in terms of blood loss (median 5 ml vs. 50 ml; p < 0.01), rate of conversion to open surgery (16% vs. 43%; p < 0.05), postoperative hospital stay (median 4 days vs. 8 days; p < 0.01), and morbidity (7% vs. 36%; p < 0.01). In the ILA group, analysis of clinical factors showed that a higher C-reactive protein level, escalation of antibiotic treatment, and longer hospitalization during conservative treatment were significantly associated with conversion. Interval laparoscopic appendectomy following conservative treatment is less invasive and has lower morbidity. However, the presence of severe inflammation at the time of conservative treatment substantially affects conversion from laparoscopic to open surgery. Appendiceal mass (dpeaa)DE-He213 Laparoscopic appendectomy (dpeaa)DE-He213 Interval appendectomy (dpeaa)DE-He213 Conversion (dpeaa)DE-He213 Sugo, Hiroyuki (orcid)0000-0002-3958-2082 aut Miyano, Shozo aut Watanobe, Ikuo aut Machida, Michio aut Kojima, Kuniaki aut Enthalten in Indian Journal of Surgery Springer-Verlag, 2007 83(2021), Suppl 3 vom: 19. März, Seite 755-760 (DE-627)SPR024596493 nnns volume:83 year:2021 number:Suppl 3 day:19 month:03 pages:755-760 https://dx.doi.org/10.1007/s12262-021-02819-w lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 83 2021 Suppl 3 19 03 755-760 |
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10.1007/s12262-021-02819-w doi (DE-627)SPR046085084 (SPR)s12262-021-02819-w-e DE-627 ger DE-627 rakwb eng Sekine, Yuuki verfasserin aut Surgical Outcomes of Interval Laparoscopic Appendectomy for Appendiceal Abscess and Predictors of Conversion to Open Surgery 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Association of Surgeons of India 2021 Abstract The present study was performed to clarify the benefits of interval laparoscopic appendectomy (ILA) for appendiceal abscess by comparison with emergency laparoscopic appendectomy (ELA), and to identify any risk factors associated with conversion to open ILA. Among 903 adult patients with acute appendicitis, we conducted a retrospective analysis of 58 patients with appendiceal abscess who had undergone either ILA after conservative treatment (ILA group; n = 44) or ELA (ELA group; n = 14). The two groups were compared with regard to surgical outcomes, and the risk factors for conversion to open surgery were also estimated in the ILA group. ILA was superior to ELA in terms of blood loss (median 5 ml vs. 50 ml; p < 0.01), rate of conversion to open surgery (16% vs. 43%; p < 0.05), postoperative hospital stay (median 4 days vs. 8 days; p < 0.01), and morbidity (7% vs. 36%; p < 0.01). In the ILA group, analysis of clinical factors showed that a higher C-reactive protein level, escalation of antibiotic treatment, and longer hospitalization during conservative treatment were significantly associated with conversion. Interval laparoscopic appendectomy following conservative treatment is less invasive and has lower morbidity. However, the presence of severe inflammation at the time of conservative treatment substantially affects conversion from laparoscopic to open surgery. Appendiceal mass (dpeaa)DE-He213 Laparoscopic appendectomy (dpeaa)DE-He213 Interval appendectomy (dpeaa)DE-He213 Conversion (dpeaa)DE-He213 Sugo, Hiroyuki (orcid)0000-0002-3958-2082 aut Miyano, Shozo aut Watanobe, Ikuo aut Machida, Michio aut Kojima, Kuniaki aut Enthalten in Indian Journal of Surgery Springer-Verlag, 2007 83(2021), Suppl 3 vom: 19. März, Seite 755-760 (DE-627)SPR024596493 nnns volume:83 year:2021 number:Suppl 3 day:19 month:03 pages:755-760 https://dx.doi.org/10.1007/s12262-021-02819-w lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 83 2021 Suppl 3 19 03 755-760 |
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10.1007/s12262-021-02819-w doi (DE-627)SPR046085084 (SPR)s12262-021-02819-w-e DE-627 ger DE-627 rakwb eng Sekine, Yuuki verfasserin aut Surgical Outcomes of Interval Laparoscopic Appendectomy for Appendiceal Abscess and Predictors of Conversion to Open Surgery 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Association of Surgeons of India 2021 Abstract The present study was performed to clarify the benefits of interval laparoscopic appendectomy (ILA) for appendiceal abscess by comparison with emergency laparoscopic appendectomy (ELA), and to identify any risk factors associated with conversion to open ILA. Among 903 adult patients with acute appendicitis, we conducted a retrospective analysis of 58 patients with appendiceal abscess who had undergone either ILA after conservative treatment (ILA group; n = 44) or ELA (ELA group; n = 14). The two groups were compared with regard to surgical outcomes, and the risk factors for conversion to open surgery were also estimated in the ILA group. ILA was superior to ELA in terms of blood loss (median 5 ml vs. 50 ml; p < 0.01), rate of conversion to open surgery (16% vs. 43%; p < 0.05), postoperative hospital stay (median 4 days vs. 8 days; p < 0.01), and morbidity (7% vs. 36%; p < 0.01). In the ILA group, analysis of clinical factors showed that a higher C-reactive protein level, escalation of antibiotic treatment, and longer hospitalization during conservative treatment were significantly associated with conversion. Interval laparoscopic appendectomy following conservative treatment is less invasive and has lower morbidity. However, the presence of severe inflammation at the time of conservative treatment substantially affects conversion from laparoscopic to open surgery. Appendiceal mass (dpeaa)DE-He213 Laparoscopic appendectomy (dpeaa)DE-He213 Interval appendectomy (dpeaa)DE-He213 Conversion (dpeaa)DE-He213 Sugo, Hiroyuki (orcid)0000-0002-3958-2082 aut Miyano, Shozo aut Watanobe, Ikuo aut Machida, Michio aut Kojima, Kuniaki aut Enthalten in Indian Journal of Surgery Springer-Verlag, 2007 83(2021), Suppl 3 vom: 19. März, Seite 755-760 (DE-627)SPR024596493 nnns volume:83 year:2021 number:Suppl 3 day:19 month:03 pages:755-760 https://dx.doi.org/10.1007/s12262-021-02819-w lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 83 2021 Suppl 3 19 03 755-760 |
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10.1007/s12262-021-02819-w doi (DE-627)SPR046085084 (SPR)s12262-021-02819-w-e DE-627 ger DE-627 rakwb eng Sekine, Yuuki verfasserin aut Surgical Outcomes of Interval Laparoscopic Appendectomy for Appendiceal Abscess and Predictors of Conversion to Open Surgery 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Association of Surgeons of India 2021 Abstract The present study was performed to clarify the benefits of interval laparoscopic appendectomy (ILA) for appendiceal abscess by comparison with emergency laparoscopic appendectomy (ELA), and to identify any risk factors associated with conversion to open ILA. Among 903 adult patients with acute appendicitis, we conducted a retrospective analysis of 58 patients with appendiceal abscess who had undergone either ILA after conservative treatment (ILA group; n = 44) or ELA (ELA group; n = 14). The two groups were compared with regard to surgical outcomes, and the risk factors for conversion to open surgery were also estimated in the ILA group. ILA was superior to ELA in terms of blood loss (median 5 ml vs. 50 ml; p < 0.01), rate of conversion to open surgery (16% vs. 43%; p < 0.05), postoperative hospital stay (median 4 days vs. 8 days; p < 0.01), and morbidity (7% vs. 36%; p < 0.01). In the ILA group, analysis of clinical factors showed that a higher C-reactive protein level, escalation of antibiotic treatment, and longer hospitalization during conservative treatment were significantly associated with conversion. Interval laparoscopic appendectomy following conservative treatment is less invasive and has lower morbidity. However, the presence of severe inflammation at the time of conservative treatment substantially affects conversion from laparoscopic to open surgery. Appendiceal mass (dpeaa)DE-He213 Laparoscopic appendectomy (dpeaa)DE-He213 Interval appendectomy (dpeaa)DE-He213 Conversion (dpeaa)DE-He213 Sugo, Hiroyuki (orcid)0000-0002-3958-2082 aut Miyano, Shozo aut Watanobe, Ikuo aut Machida, Michio aut Kojima, Kuniaki aut Enthalten in Indian Journal of Surgery Springer-Verlag, 2007 83(2021), Suppl 3 vom: 19. März, Seite 755-760 (DE-627)SPR024596493 nnns volume:83 year:2021 number:Suppl 3 day:19 month:03 pages:755-760 https://dx.doi.org/10.1007/s12262-021-02819-w lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 83 2021 Suppl 3 19 03 755-760 |
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surgical outcomes of interval laparoscopic appendectomy for appendiceal abscess and predictors of conversion to open surgery |
| title_auth |
Surgical Outcomes of Interval Laparoscopic Appendectomy for Appendiceal Abscess and Predictors of Conversion to Open Surgery |
| abstract |
Abstract The present study was performed to clarify the benefits of interval laparoscopic appendectomy (ILA) for appendiceal abscess by comparison with emergency laparoscopic appendectomy (ELA), and to identify any risk factors associated with conversion to open ILA. Among 903 adult patients with acute appendicitis, we conducted a retrospective analysis of 58 patients with appendiceal abscess who had undergone either ILA after conservative treatment (ILA group; n = 44) or ELA (ELA group; n = 14). The two groups were compared with regard to surgical outcomes, and the risk factors for conversion to open surgery were also estimated in the ILA group. ILA was superior to ELA in terms of blood loss (median 5 ml vs. 50 ml; p < 0.01), rate of conversion to open surgery (16% vs. 43%; p < 0.05), postoperative hospital stay (median 4 days vs. 8 days; p < 0.01), and morbidity (7% vs. 36%; p < 0.01). In the ILA group, analysis of clinical factors showed that a higher C-reactive protein level, escalation of antibiotic treatment, and longer hospitalization during conservative treatment were significantly associated with conversion. Interval laparoscopic appendectomy following conservative treatment is less invasive and has lower morbidity. However, the presence of severe inflammation at the time of conservative treatment substantially affects conversion from laparoscopic to open surgery. © Association of Surgeons of India 2021 |
| abstractGer |
Abstract The present study was performed to clarify the benefits of interval laparoscopic appendectomy (ILA) for appendiceal abscess by comparison with emergency laparoscopic appendectomy (ELA), and to identify any risk factors associated with conversion to open ILA. Among 903 adult patients with acute appendicitis, we conducted a retrospective analysis of 58 patients with appendiceal abscess who had undergone either ILA after conservative treatment (ILA group; n = 44) or ELA (ELA group; n = 14). The two groups were compared with regard to surgical outcomes, and the risk factors for conversion to open surgery were also estimated in the ILA group. ILA was superior to ELA in terms of blood loss (median 5 ml vs. 50 ml; p < 0.01), rate of conversion to open surgery (16% vs. 43%; p < 0.05), postoperative hospital stay (median 4 days vs. 8 days; p < 0.01), and morbidity (7% vs. 36%; p < 0.01). In the ILA group, analysis of clinical factors showed that a higher C-reactive protein level, escalation of antibiotic treatment, and longer hospitalization during conservative treatment were significantly associated with conversion. Interval laparoscopic appendectomy following conservative treatment is less invasive and has lower morbidity. However, the presence of severe inflammation at the time of conservative treatment substantially affects conversion from laparoscopic to open surgery. © Association of Surgeons of India 2021 |
| abstract_unstemmed |
Abstract The present study was performed to clarify the benefits of interval laparoscopic appendectomy (ILA) for appendiceal abscess by comparison with emergency laparoscopic appendectomy (ELA), and to identify any risk factors associated with conversion to open ILA. Among 903 adult patients with acute appendicitis, we conducted a retrospective analysis of 58 patients with appendiceal abscess who had undergone either ILA after conservative treatment (ILA group; n = 44) or ELA (ELA group; n = 14). The two groups were compared with regard to surgical outcomes, and the risk factors for conversion to open surgery were also estimated in the ILA group. ILA was superior to ELA in terms of blood loss (median 5 ml vs. 50 ml; p < 0.01), rate of conversion to open surgery (16% vs. 43%; p < 0.05), postoperative hospital stay (median 4 days vs. 8 days; p < 0.01), and morbidity (7% vs. 36%; p < 0.01). In the ILA group, analysis of clinical factors showed that a higher C-reactive protein level, escalation of antibiotic treatment, and longer hospitalization during conservative treatment were significantly associated with conversion. Interval laparoscopic appendectomy following conservative treatment is less invasive and has lower morbidity. However, the presence of severe inflammation at the time of conservative treatment substantially affects conversion from laparoscopic to open surgery. © Association of Surgeons of India 2021 |
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Surgical Outcomes of Interval Laparoscopic Appendectomy for Appendiceal Abscess and Predictors of Conversion to Open Surgery |
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Sugo, Hiroyuki Miyano, Shozo Watanobe, Ikuo Machida, Michio Kojima, Kuniaki |
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