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  • Title: Improvements in laparoscopic treatment for complicated appendicitis.
    Author: Cash C, Frazee R.
    Journal: J Laparoendosc Adv Surg Tech A; 2012; 22(6):581-3. PubMed ID: 22458834.
    Abstract:
    BACKGROUND: To determine if results for laparoscopic appendectomy for complicated appendicitis have improved with 15 years of experience and advances in technology. SUBJECTS AND METHODS: A retrospective review of 169 patients who underwent laparoscopic appendectomy in 2009 was performed. Of these, the 25 who were identified with gangrenous appendicitis and the 25 with perforated appendicitis served as our study population. These patients were compared with 15 patients with gangrenous appendicitis and 19 patients with perforated appendicitis from 1995 who had undergone laparoscopic appendectomy to determine if improvements in patient outcome have coincided with improvements in experience and technology. Patient demographics, operating time, length of hospitalization, and complications were compared and analyzed for statistical significance. RESULTS: The two groups were similar regarding age and sex distribution. Operating time was unchanged between the two study times. A significant improvement was seen in length of stay and a trend toward fewer infectious complications in the later study group. CONCLUSION: Experience and advances in medical technology have translated into improved results for laparoscopic appendectomy for complicated appendicitis.
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