title: Laparoscopic treatment of perforated appendicitis.
abstract: The use of laparoscopy has been established in improving perioperative and postoperative outcomes for patients with simple appendicitis. Laparoscopic appendectomy is associated with less wound pain, less wound infection, a shorter hospital stay, and faster overall recovery when compared to the open appendectomy for uncomplicated cases. In the past two decades, the use of laparoscopy for the treatment of perforated appendicitis to take the advantages of minimally invasiveness has increased. This article reviewed the prevalence, approaches, safety disclaimers, perioperative and postoperative outcomes of the laparoscopic appendectomy in the treatment of patients with perforated appendicitis. Special issues including the conversion, interval appendectomy, laparoscopic approach for elderly or obese patient are also discussed to define the role of laparoscopic treatment for patients with perforated appendicitis.
authors.affiliation: Heng-Fu Lin, Department of Surgery, Far-Eastern Memorial Hospital, Taipei 220, Taiwan.
authors.forename: Heng-Fu
authors.initials: HF
authors.lastname: Lin
authors.affiliation: Heng-Fu Lin, Department of Surgery, Far-Eastern Memorial Hospital, Taipei 220, Taiwan.
authors.forename: Hong-Shiee
authors.initials: HS
authors.lastname: Lai
authors.affiliation: Heng-Fu Lin, Department of Surgery, Far-Eastern Memorial Hospital, Taipei 220, Taiwan.
authors.forename: I-Rue
authors.initials: IR
authors.lastname: Lai
mesh_terms: D000367:Age Factors; D001062:Appendectomy / Q000009:adverse effects / Q000191:economics / Q000379:methods*; D001064:Appendicitis / Q000150:complications / Q000175:diagnosis / Q000191:economics / Q000601:surgery*; D003362:Cost-Benefit Analysis; D017048:Health Care Costs; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000191:economics; D009765:Obesity / Q000150:complications; D018579:Patient Selection; D011183:Postoperative Complications / Q000209:etiology; D012307:Risk Factors; D016896:Treatment Outcome
keywords: Cost; Intra-abdominal abscess; Laparoscopic appendectomy; Perforation