2019 Volume 39 Issue 4 Pages 663-667
Interval appendectomy after antibiotic administration and/or drainage has increased in patients with perforated appendicitis with abscess formation. On the other hand, in cases of appendicitis with a perforated appendix without abscess perforation, it is unknown whether emergency laparoscopic surgery is useful. From 2011 to 2017, 68 patients underwent an urgent appendectomy under the diagnosis of perforated appendicitis. Surgical factors and postoperative early outcome were evaluated between laparoscopic surgery (n=53) and open surgery, including conversion cases (n=15). No significant difference was observed in the operation time between the two groups, but the amount of bleeding was significantly less in the laparoscopic group (15.1g vs. 82.7g, P<0.001). There was no significant difference between postoperative complications, including surgical site infection in both groups, but the postoperative hospital stay was significantly shorter in the laparoscopic group （8days vs. 14days, P<0.001）. Laparoscopic appendectomy in patients with perforated appendicitis without abscess formation could shorten hospital stay without increasing complications.
