[Use of videolaparoscopy in treatment of peritonitis of appendicular origin].

Videolaparoscopic appendectomy was carried out in 108 patients with acute destructive appendicitis complicated by peritonitis. Local peritonitis was noted in 65 patients, diffuse peritonitis in 33 patients, periappendicular abscess in 10 patients. Postoperative complications were observed in 6 (5.6%) patients. Nobody died. A comparison of results of treatment with a group of 143 patients who underwent appendectomy by laparotomic approach has shown that after endovideosurgical treatment there was no such a serious complication as early adhesive intestinal obstruction. The number of wound complications statistically reliably decreased as well as the time of stay at hospital. The authors consider that videolaparoscopic appendectomy should be used in treatment of peritonitis of appendicular origin much wider.