Laparoscopic Interval Appendectomy for Acute Appendicitis with an Appendiceal Mass

DOI
  • Katagiri Hideki
    Division of General and Breast Surgery, Juntendo University Nerima Hospital
  • Miyano Shozo
    Division of General and Breast Surgery, Juntendo University Nerima Hospital
  • Machida Michio
    Division of General and Breast Surgery, Juntendo University Nerima Hospital
  • Kitabatake Toshiaki
    Division of General and Breast Surgery, Juntendo University Nerima Hospital
  • Fujisawa Minoru
    Division of General and Breast Surgery, Juntendo University Nerima Hospital
  • Kojima Kuniaki
    Division of General and Breast Surgery, Juntendo University Nerima Hospital
  • Urao Masahiko
    Division of Pediatric Surgery, Juntendo University Nerima Hospital

Bibliographic Information

Other Title
  • 腫瘤形成性虫垂炎に対するlaparoscopic interval appendectomyの検討

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Description

In cases of acute appendicitis, we have mostly performed emergency laparoscopic appendectomy (EA). However, for some cases of acute appendicitis with an appendiceal mass which satisfy our criteria, we have performed interval laparoscopic appendectomy (IA) one to three months after nonoperative treatment with antibiotics. The indications for IA in our institution are as follows: 1) Abdominal CT shows an appendiceal mass; 2) Abdominal examination does not reveal panperitonitis; and 3) The condition responds to nonoperative treatment in the first 48 hours. In this study, we aimed to elucidate the significance of IA. We examined 21 cases in which abdominal CT showed an appendiceal mass (7 cases in EA and 14 cases in IA). In this study, the operation time, volume of bleeding, and ratio of conversion to laparotomy were significantly better in IA than EA. We could perform an easier and safer operation in IA than EA. Moreover, more than half of the surgical specimens of IA showed inflammatory change even after successful conservative treatment. We should consider IA because of the risk of recurrence. From the aspect of health insurance, there were no differences between EA and IA. We conclude that IA is effective for acute appendicitis with an appendiceal mass.

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Details 詳細情報について

  • CRID
    1390001204734625408
  • NII Article ID
    130004509036
  • DOI
    10.11231/jaem.32.781
  • ISSN
    18824781
    13402242
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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