Cirugia y cirujanos · 2021
Laparoscopic appendectomy in complicated appendicitis with compromised appendix base: a retrospective cohort study.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Flores-Marín Karina, Rodríguez-Parra Andrés, Trejo-Ávila Mario, Cárdenas-Lailson Eduardo, Delano-Alonso Roberto, Valenzuela-Salazar Carlos, Herrera-Esquivel Jesus, Moreno-Portillo Mucio
Аннотация
BACKGROUND: Patients with compromised appendix base constitute a subgroup of patients with complicated appendicitis, and there is few available information.
OBJECTIVE: To study the frequency of stump leaks and fistulae in patients with complicated appendicitis with compromised stump.
METHOD: This is an observational, retrospective study of patients that underwent laparoscopic appendectomy with compromised appendix stump.
RESULTS: From 2015 to 2019, 158 patients with complicated appendicitis were operated, of them 54 had compromised base or stump. There were 66.7% men, with a mean age of 38.7 years. For stump closure, a simple knot was employed in 57.4%, and in 42.6% an invaginated suture was employed. Regarding complications, 16.7% developed intraabdominal abscess, 7.4% ileus and 7.4% had wound infection. We found one stump leak and one stump fistula. The mean length of stay was 5.4 days (range: 1-20). There were 5 reoperations, 4 for abscess drainage and 1 for stump leak.
CONCLUSIONS: Patients with acute complicated appendicitis with compromised appendicular base, laparoscopic surgery either with simple knot or with invaginated suture resulted in low frequency of stump leaks and fistula.
OBJECTIVE: To study the frequency of stump leaks and fistulae in patients with complicated appendicitis with compromised stump.
METHOD: This is an observational, retrospective study of patients that underwent laparoscopic appendectomy with compromised appendix stump.
RESULTS: From 2015 to 2019, 158 patients with complicated appendicitis were operated, of them 54 had compromised base or stump. There were 66.7% men, with a mean age of 38.7 years. For stump closure, a simple knot was employed in 57.4%, and in 42.6% an invaginated suture was employed. Regarding complications, 16.7% developed intraabdominal abscess, 7.4% ileus and 7.4% had wound infection. We found one stump leak and one stump fistula. The mean length of stay was 5.4 days (range: 1-20). There were 5 reoperations, 4 for abscess drainage and 1 for stump leak.
CONCLUSIONS: Patients with acute complicated appendicitis with compromised appendicular base, laparoscopic surgery either with simple knot or with invaginated suture resulted in low frequency of stump leaks and fistula.