ABSTRACT

Background:

The advantages and disadvantages of laparoscopy in treatment of acute appendicitis is still a dilemma. Laparoscopy is superior to the conventional techniques in patients with acute appendicitis with its minimal invazive nature and advantages for abdominal exploration. In this study, we evaluated the peroperative and postoperative outcomes of 20 patients who underwent laparoscopic appendectomy.

Material and Methods:

Twenty patients who underwent laparoscopic appendectomy were included in this prospective study. Operation data, operation time, closure tecnique of the appendix stumpf, appendix localization and peroperative complications of the patients were recorded. Postoperative complications, duration of hospitalisation and time of return to work were also recorded in the postoperative period.

Results:

Mean age of the patients was 32±SS where 60% (n=12) of the cases were male. Four patients had coexiting diseases. Mean duration of symptoms was ten hours. Mean operation time was 38 minutes,and it was remarkable that 17 patients (85%) had non-perforated appendicitis. Appendix was localized intraperitoneally in 80% of the cases and no peroperative complication was seen. Mean hospital stay was 30±SS hours, mean time of return to work was 15±SS days.

Conclusion:

Laparoscopic appendectomy is a safe technique in the treatment of acute appendicitis, because of its short operation time, low operative and postoperative morbidity, short hospital stay and short time of return to work, with high patient satisfaction and comfort.