Publication details

Laparoscopic versus laparotomic appendectomy for generalised peritinitis in children.

Authors

PLÁNKA Ladislav STARÝ David TŮMA Jiří GÁL Petr

Year of publication 2009
Type Article in Periodical
Magazine / Source Scripta medica
MU Faculty or unit

Faculty of Medicine

Citation
Field Surgery incl. transplantology
Keywords Laparoscopic appendectomy; Open appendectomy; Peritonitis; Complication
Description Laparoscopic appendectomy for appendicitis in its late stage with advanced generalised peritonitis does not show increased occurrence of early or late postoperative complications compared to classic laparotomic appendectomy. A null hypothesis expecting no differences was successfully confirmed using a statistical significance level. On the contrary, traditional open appendectomy is accompanied by more late complications, such as bowel adhesions. Based on this study, we can recommend laparoscopy as adequate for appendectomy also in its late stage with inflammation extending into the peritoneum.

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