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KMID : 1035920140170030037
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Journal of Minimally Invasive Surgery
2014 Volume.17 No. 3 p.37 ~ p.43
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Advantages of Interval Laparoscopic Appendectomy for Periappendiceal Abscess
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Kim Young-Jin
You Sun-Hyong
Kye Bong-Hyeon
Kwon Taek-Su
Lee Yoon-Suk
Oh Seong-Taek
Kim Jun-Gi
Lee In-Kyu
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Abstract
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Purpose: Laparoscopic appendectomy is a common procedure for treatment of appendicitis. However, in some complicated cases, like periappendiceal abscess, deciding on treatment options is very challenging. Early appendectomy or interval appendectomy may be possible, but remains controversial.
Methods: We prospectively studied the advantages of interval appendectomy in 21 patients with periappendiceal abscess using a laparoscopic method versus 14 patients with immediate initial laparotomy.
Results: In the interval appendectomy group (INT group), in periappendiceal abscess, use of a laparoscopic method was advantageous in terms of operation time (p＜0.001), less fasting time (p＜0.001), and fewer postoperative complications (p=0.032). However, the total cost in the INT group was 1,686,000±940,000 South Korean won (KRW) compared with 1,506,000±322,000 KRW in the early appendectomy group (EAR group) (p=0.007) because patients in the INT group required two hospital visits. The total length of hospital stay postoperatively, was 7.31±2.726 days in the INT group, compared with 9.21±3.378 days in the EAR group (p=0.537).
Conclusion: W e recommend interval appendectomy as the preferable approach for the periappendiceal abscess, as it can result in more favorable postoperative surgical outcomes, fewer complications, and less antibiotic usage.
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KEYWORD
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Interval appendectomy, Laparoscopic appendectomy, Periappendiceal abscess, Percutaneous drainage, Cost effectiveness
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