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Background: The role of laparoscopy in treatment of complicated appendicitis is increasing. Objective: The study goals to assess the role of laparoscopy in complicated appendicitis. Patient and Methods: This prospective case series study involved 40 patients with complicated appendicitis who submitted to laparoscopic appendectomy and were assessed concerning operative time, postoperative outcome as regard analgesia use, duration of hospital stay, back to usual oral feeding and postoperative complications in department of general surgery at Al Hussein university hospital and Ahmed Maher Teaching Hospital, from September 2019 to May 2020. Results: 40 patients submitted to laparoscopic appendectomy for complicated appendicitis. Mean age of all considered patients was 28.4 ± 9.7 years with a minimum age of 18 years and maximum age of 53 years, there were 14 males (35%) and 26 females (65%) in the considered patients. Of the 40 patients, perforated appendix cases were 18, gangrenous appendix cases were 10, appendicular abscess cases were 8 and appendicular mass cases were 4 cases. Conversion to open technique was done in 2 cases (5%), postoperative hospital stay was two days in 10 patients (25%), 3 days in 14 patients (35%), 4 days in 12 patients (30%) more than 5 days in 4 patients (10%) and 2 patients had prolonged stay (converted to open surgery patients) and postoperative complications in 12 cases (30%) as fever, intra-abdominal collection, ileus and wound infection. Conclusion: Laparoscopic appendectomy remains a safe and efficient technique in treatment of complicated appendicitis. Keywords: Appendicitis, Complicated appendicitis, Laparoscopic appendectomy. |
