Publication: The Trend and Outcomes of Laparoscopic Appendectomy for Complicated Appendicitis in Nepal: A retrospective study from 2014 to 2018 in a University Hospital
Date
2019
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Globally, appendicitis is the most frequent emergency surgical procedure.
Laparoscopic Appendectomy (LA) is recommended as a standard surgical procedure
to remove appendix. In Nepal, studies showed improved outcomes of Laparoscopic
Appendectomy than Open Appendectomy (OA) in treating acute appendicitis.
However, effectiveness of in Complicated Appendicitis (CA) has not yet studied in
Nepal.
Objective
This study aims to assess the temporal trend of Laparoscopic Appendectomy in
management of Complicated appendicitis and to compare outcomes with Open
Appendectomy.
Method
The study is a retrospective descriptive study. The outcome measures in the study
are age, sex, ethnicity, length of postoperative stay (LOS), and conversion rate.
Secondary data of 174 patients with complicated appendicitis were extracted and
reviewed from the operation theater records and the discharge summary from the
period of 2014 to 2018.
Result
The mean age of the patients is 33.2 (SD ±19.4). Predominantly increased incidence
is observed among male patients (66%). Mean Length of stay was 4.07(SD±2.1) days.
Laparoscopic Appendectomy had shorter hospital stays than open and converted
cases. The conversion rate was 10.92% for the observation period, and it was in a
decreasing trend with the latest of 4.54%. The temporal trend for the percentage
of patients who underwent Laparoscopic Appendectomy was increasing in the
observation period.
Conclusion
The utilization of laparoscopic appendectomy in complicated appendicitis is growing
in Nepal, and has decreasing conversion rate.
KEY WORDS
Appendicitis, Conversion rate, Laparoscopy
Description
Shakya YR,1 Shakya S,2 Napit D,1 Dahal S,1 Malla BR1
1Department of Surgery
Kathmandu University School of Medical Sciences
Dhulikhel, Kavre, Nepal.
2Department of Health Behavior and Health Education,
Fay W. Boozman College of Public Health,
Unviersity of Arkansas for Medical Sciences,
Arkansas, USA
Keywords
Appendicitis, Conversion rate, Laparoscopy