Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Werkgartner, G; Cerwenka, H; El Shabrawi, A; Bacher, H; Hauser, H; Mischinger, HJ; Wagner, M; Wagner, D.
Laparoscopic versus open appendectomy for complicated appendicitis in high risk patients.
Int J Colorectal Dis. 2015; 30(3):397-401
Doi: 10.1007/s00384-014-2095-4
Web of Science
PubMed
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FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Wagner Doris
- Werkgartner Georg
- Co-Autor*innen der Med Uni Graz
- Bacher Heinz
- Cerwenka Herwig
- Hauser Hubert
- Mischinger Hans-Jörg
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- Abstract:
- Laparoscopic appendectomy is widely used for the treatment of complicated appendicitis. Its use in patients with high operative risk is still on debate. The aim of the presented study was to investigate the benefits of laparoscopic appendectomy in patients with high peri- and postoperative risk factors. We performed a retrospective analysis of all patients who underwent appendectomy in our center between 2006 and 2013. Patients were classified according to their preoperative risk (classification of the American Society of Anesthesia--ASA score). Only patients with ASA 3 and 4 were included and were divided into two groups--open appendectomy (OA group) and laparoscopic appendectomy (LA group). The operation time was slightly longer in the LA group (p = 0.05), but hospital stay was shorter (p = 0.05). Complications graded according to the Clavien Dindo classification were slightly more frequent in patients after LA, whereas severe complications occurred more frequently in patients after OA (p = 0.01). The postoperative WBC decreased steadily and significantly in patients after OA, whereas the decrease in patients after LA was delayed (p = 0.03). CRP slightly increased after OA and decreased thereafter, whereas it steadily decreased after LA (p = 0.05). Laparoscopic appendectomy can be recommended for patients with complicated appendicitis even with higher risk categories.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Adult -
- Aged -
- Aged, 80 and over -
- Appendectomy - adverse effects
- Appendectomy - methods
- Appendicitis - complications
- Appendicitis - surgery
- C-Reactive Protein - analysis
- Female -
- Humans -
- Inflammation - etiology
- Laparoscopy - adverse effects
- Length of Stay -
- Leukocyte Count -
- Male -
- Middle Aged -
- Operative Time -
- Retrospective Studies -
- Risk Factors -
- Treatment Outcome -
- Young Adult -
- Find related publications in this database (Keywords)
- Open appendectomy
- Laparoscopic appendectomy
- Complicated appendicitis
- Acute appendicitis
- ASA classification