Minimal access surgery is nowadays widely practiced in both diagnosis and management of various infective conditions of abdomen. Laparoscopic appendicectomy (LA) is a procedure of choice in acute or chronic appendicitis in any age group. Laparoscopy is also recommended in appendicolithiasis, perforated appendicitis, and appendicular abscess with evidence of less morbidity and hospital stay in comparison to open approach.
Some studies reported formation of postoperative intraabdominal abscess (IAA) and challenged the laparoscopic management in perforated appendicitis. We searched through internet for relevant articles with the keywords like LA in acute appendicitis, burst appendix, appendicular abscess, intraabdominal abscess, perforated appendicitis, etc. Individual case report or case series lack in control group for comparison were excluded from our review.
This study reviewed the efficacy of LA in perforated appendicitis. Parameters we concentrated were on operation techniques related to operation time, conversion rate, surgical site infection, IAA formation, hospital stay, use of analgesics, and the cost.
Semm K. Endoscopic appendectomy. Endoscopy 1983 Mar;15(2):59-64.
Mutter D, Vix M, Bui A, Evrard S, Tassetti V, Breton J, Marescaux J. Laparoscopy not recommended for routine appendectomy in men: results of a prospective randomized study. Surgery 1996 Jul;120(1):71-74.
Reiertsen O, Larsen S, Trondsen E, Edwin B, Faerden AE, Rosseland AR. Randomized controlled trial with sequential design of laparoscopic versus conventional appendectomy. Br J Surg 1997 Jun;84(6):842-847.
Garg CP, Vaidya BB, Chengalath MM. Efficacy of laparoscopy in complicated appendicitis. Int J Surg 2009 Jun;7(3):250-252.
Piskun G, Kozik D, Rajpal S, Shaftan G, Fogler R. Comparison of laparoscopic, open, and converted appendectomy for perforated appendicitis. Surg Endosc 2001 Jul;15(7):660-662.
So JB, Chiong EC, Chiong E, Cheah WK, Lomanto D, Goh P, Kum CK. Laparoscopic appendectomy for perforated appendicitis. World J Surg 2002 Dec;26(12):1485-1488.
Senapathi PS, Bhattacharya D, Ammori BJ. Early laparoscopic appendectomy for appendicular mass. Surg Endosc 2002 Dec;16(12):1783-1785.
Guller U, Hervey S, Purves H, Muhlbaier LH, Peterson ED, Eubanks S, Pietrobon R. Laparoscopic versus open appendectomy: outcomes comparison based on a large administrative database. Ann Surg 2004 Jan;239(1):43-52.
Mancini GJ, Mancini ML, Nelson HS. Efficacy of laparoscopic appendectomy in appendicitis with peritonitis. Am Surg 2005 Jan;71(1):1-5.
Lin HF, Wu JM, Tseng LM, Chen KH, Huang SH, Lai IR. Laparoscopic versus open appendectomy for perforated appendicitis. J Gastrointest Surg 2006 Jun;10(6):906-910.
Fukami Y, Hasegawa H, Sakamoto E, Komatsu S, Hiromatsu T. Value of laparoscopic appendectomy in perforated appendicitis. World J Surg 2007 Jan;31(1):93-97.
Sleem R, Fisher S, Gestring M, Cheng J, Sangosanya A, Stassen N, Bankey P. Perforated appendicitis: is early laparoscopic appendectomy appropriate? Surgery 2009 Oct;146(4):731-737; discussion 737-738.
Masoomi H, Mills S, Dolich MO, Ketana N, Carmichael JC, Nguyen NT, Stamos MJ. Comparison of outcomes of laparoscopic versus open appendectomy in adults: data from the Nationwide Inpatient Sample (NIS), 2006-2008. J Gastrointest Surg 2011 Dec;15(12):2226-2231.
Bonanni F, Reed J 3rd, Hartzell G, Trostle D, Boorse R, Gittleman M, Cole A. Laparoscopic versus conventional appendectomy. J Am Coll Surg 1994 Sep;179(3):273-278.
Krisher SL, Browne A, Dibbins A, Tkacz N, Curci M. Intraabdominal abscess after laparoscopic appendectomy for perforated appendicitis. Arch Surg 2001 Apr;136(4):438-441.
Katsuno G, Nagakari K, Yoshikawa S, Sugiyama K, Fukunaga M. Laparoscopic appendectomy for complicated appendicitis: a comparison with open appendectomy. World J Surg 2009 Feb;33(2):208-214.
Tuggle KR, Ortega G, Bolorunduro OB, Oyetunji TA, Alexander R, Turner PL, Chang DC, Cornwell EE 3rd, Fullum TM. Laparoscopic versus open appendectomy in complicated appendicitis: a review of the NSQIP database. J Surg Res 2010 Oct;163(2):225-228.
Korndorffer JR Jr, Fellinger E, Reed W. SAGES guideline for laparoscopic appendectomy. Surg Endosc 2010 Apr;24(4): 757-761.
Muensterer OJ, Puga Nougues C, Adibe OO, Amin SR, Georgeson KE, Harmon CM. Appendectomy using singleincision pediatric endosurgery for acute and perforated appendicitis. Surg Endosc 2010 Dec;24(12):3201-3204.
Markides G, Subar D, Riyad K. Laparoscopic versus open appendectomy in adults with complicated appendicitis: systematic review and meta-analysis. World J Surg 2010 Sep;34(9):2026-2040.
Beldi G, Vorburger SA, Bruegger LE, Kocher T, Inderbitzin D, Candinas D. Analysis of stapling versus endoloops in appendiceal stump closure. Br J Surg 2006 Nov;93(11): 1390-1393.
Sahm M, Kube R, Schmidt S, Ritter C, Pross M, Lippert H. Current analysis of endoloops in appendiceal stump closure. Surg Endosc 2011 Jan;25(1):124-129.
Agresta F, Ansaloni L, Baiocchi GL, Bergamini C, Campanile FC, Carlucci M, Cocorullo G, Corradi A, Franzato B, Lupo M, et al. Laparoscopic approach to acute abdomen from the Consensus Development Conference of the Società Italiana di Chirurgia Endoscopica e nuove tecnologie (SICE), Associazione Chirurghi Ospedalieri Italiani (ACOI), Società Italiana di Chirurgia (SIC), Società Italiana di Chirurgia d'Urgenza e del Trauma (SICUT), Società Italiana di Chirurgia nell'Ospedalità Privata (SICOP), and the European Association for Endoscopic Surgery (EAES). Surg Endosc 2012 Aug;26(8):2134-2164.
Moore CB, Smith RS, Herbertson R, Toevs C. Does use of intraoperative irrigation with open or laparoscopic appendectomy reduce post-operative intra-abdominal abscess? Am Surg 2011 Jan;77(1):78-80.
Schein M. To drain or not to drain? The role of drainage in the contaminated and infected abdomen: an international and personal perspective. World J Surg 2008 Feb;32(2):312-321.
Allemann P, Probst H, Demartines N, Schäfer M. Prevention of infectious complications after laparoscopic appendectomy for complicated acute appendicitis—the role of routine abdominal drainage. Langenbecks Arch Surg 2011 Jan;396(1):63-68.
Pessaux P, Msika S, Atalla D, Hay JM, Flamant Y; French Association for Surgical Research. Risk factors for postoperative infectious complications in noncolorectal abdominal surgery: a multivariate analysis based on a prospective multicenter study of 4718 patients. Arch Surg 2003 Mar;138(3): 314-324.
Tiwari MM, Reynoso JF, Tsang AW, Oleynikov D. Comparison of outcomes of laparoscopic and open appendectomy in management of uncomplicated and complicated appendicitis. Ann Surg 2011 Dec;254(6):927-932.
Gupta R, Sample C, Bamehriz F, Birch DW. Infectious complications following laparoscopic appendectomy. Can J Surg 2006 Dec;49(6):397-400.
Wang X, Zhang W, Yang X, Shao J, Zhou X, Yuan J. Complicated appendicitis in children: is laparoscopic appendectomy appropriate? A comparative study with the open appendectomy— our experience. J Pediatr Surg 2009 Oct;44(10):1924-1927.
Markar SR, Blackburn S, Cobb R, Karthikesalingam A, Evans J, Kinross J, Faiz O. Laparoscopic versus open appendectomy for complicated and uncomplicated appendicitis in children. J Gastrointest Surg 2012 Oct;16(10):1993-2004.
Fraser JD, Aguayo P, Leys CM, Keckler SJ, Newland JG, Sharp SW, Murphy JP, Snyder CL, Sharp RJ, Andrews WS, et al. A complete course of intravenous antibiotics vs a combination of intravenous and oral antibiotics for perforated appendicitis in children: a prospective, randomized trial. J Pediatr Surg 2010 Jun;45(6):1198-1202.
Sauerland S, Lefering R, Neugebauer EA. Laparoscopic versus open surgery for suspected appendicitis. Cochrane Database Syst Rev 2004 Oct;4:CD001546.
Yagmurlu A, Vernon A, Barnhart DC, Georgeson KE, Harmon CM. Laparoscopic appendectomy for perforated appendicitis: a comparison with open appendectomy. Surg Endosc 2006 Jul;20(7):1051-1054.
Yeh CC, Wu SC, Liao CC, Su LT, Hsieh CH, Li TC. Laparoscopic appendectomy for acute appendicitis is more favorable for patients with comorbidities, the elderly, and those with complicated appendicitis: a nationwide population-based study. Surg Endosc 2011 Sep;25(9):2932-2942.
Storm-Dickerson TL, Horattas MC. What have we learned over the past 20 years about appendicitis in the elderly? Am J Surg 2003 Mar;185(3):198-201.
Masoomi H, Mills S, Dolich MO, Ketana N, Carmichael JC, Nguyen NT, Stamos MJ. Does laparoscopic appendectomy impart an advantage over open appendectomy in elderly patients? World J Surg 2012 Jul;36(7):1534-1539.
Paranjape C, Dalia S, Pan J, Horattas M. Appendicitis in the elderly: a change in the laparoscopic era. Surg Endosc 2007 May;21(5):777-781.
Harrell AG, Lincourt AE, Novitsky YW, Rosen MJ, Kuwada TS, Kercher KW, Sing RF, Heniford BT. Advantages of laparoscopic appendectomy in the elderly. Am Surg 2006 Jun;72(6):474-480.
Enochsson L, Hellberg A, Rudberg C, Fenyo G, Gudbjartson T, Kullman E, Ringqvist I, Sorensen S, Wenner J. Laparoscopic vs open appendectomy in overweight patients. Surg Endosc 2001 Apr;15(4):387-392.
Varela JE, Hinojosa MW, Nguyen NT. Laparoscopy should be the approach of choice for acute appendicitis in the morbidly obese. Am J Surg 2008 Aug;196(2):218-222.
Lin HF, Lai HS, Lai IR. Laparoscopic treatment of perforated appendicitis. World J Gastroenterol 2014 Oct;20(39): 14338-14347.
Sartelli M, Viale P, Catena F, Ansaloni L, Moore E, Malangoni M, Moore FA, Velmahos G, Coimbra R, Ivatury R, et al. 2013 WSES guidelines for management of intra-abdominal infections. World J Emerg Surg 2013 Jan;8(1):3.
Oyetunji TA, Nwomeh BC, Ong'uti SK, Gonzalez DO, Cornwell EE 3rd, Fullum TM. Laparoscopic appendectomy in children with complicated appendicitis: ethnic disparity amid changing trend. J Surg Res 2011 Sep;170(1):e99-e103.
Jen HC, Shew SB. Laparoscopic versus open appendectomy in children: outcomes comparison based on a statewide analysis. J Surg Res 2010 Jun;161(1):13-17.
Mohamed AA, Mahran KM. Laparoscopic appendectomy in complicated appendicitis: is it safe? J Min Access Surg 2013 Apr;9(2):55-58.