Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website http://www.jocmr.org

Original Article

Volume 6, Number 4, August 2014, pages 261-266


Lessons Learned With Laparoscopic Management of Complicated Grades of Acute Appendicitis

Tables

Table 1. Patients Underwent a Laparoscopic Appendectomy for Complicated Acute Appendicitis According to the Laparoscopic Grading System (n = 154)
 
GradeN%
*Most frequent complicated grade of acute appendicitis.
Grade 3A*5032.4
Grade 3B149.1
Grade 4A4327.9
Grade 4B2616.8
Grade 52113.8
Total154100

 

Table 2. Mean Operating Time Spent During Laparoscopic Appendectomy for Complicated Grades of Acute Appendicitis From Four Similar Studies (n = 154)
 
Study or subgroupMean*SD#n§
*Mean operating time in minutes. #Standard deviation. §Sample of each series. µAuthor’s series.
Katsuno et al (2009) [17]116.745141
Lin et al (2006) [18]96.143.199
So et al (2002) [19]732585
Khalili et al (1999) [20]8629122
µGomes et al (2012)69.426.3154

 

Table 3. Wound and Intra-Abdominal Infection in Patients Who Underwent a Laparoscopic Appendectomy According to Laparoscopic Grading System (n = 154)
 
Surgical site infectionLaparoscopic grading systemTotal
Grade 3AGrade 3BGrade 4AGrade 4BGrade 5Event#%
#Event (surgical site infection by each grade).
Wound
  Yes0201142.6
  No5012432512015097.4
  Total50144326212154100
Intra-abdominal
  Yes2030274.6
  No481440261914795.4
  Total5014432621154100

 

Table 4. Conversion Rate and Operative Complications in Patients Who Underwent a Laparoscopic Appendectomy in Accordance to Laparoscopic Grading System (n = 154)
 
Laparoscopic grading systemTotal
Grade 3AGrade 3BGrade 4AGrade 4BGrade 5Event#%
Bleeding, iatrogenic injury, post-operative obstruction and enteric leak. #Conversion and complication in accordance to specific grade.
Laparotomy
  Yes0520185.2
  No50941262014294.8
Operative# complication
  Yes0000000
  N (grade)5014432621154100