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Cirugía y cirujanos
versión On-line ISSN 2444-054Xversión impresa ISSN 0009-7411
Resumen
FLORES-MARIN, Karina et al. Laparoscopic appendectomy in complicated appendicitis with compromised appendix base: a retrospective cohort study. Cir. cir. [online]. 2021, vol.89, n.5, pp.651-656. Epub 03-Oct-2021. ISSN 2444-054X. https://doi.org/10.24875/ciru.200009051.
Background:
Patients with compromised appendix base constitute a subgroup of patients with complicated appendicitis, and there is few available information.
Objective:
To study the frequency of stump leaks and fistulae in patients with complicated appendicitis with compromised stump.
Method:
This is an observational, retrospective study of patients that underwent laparoscopic appendectomy with compromised appendix stump.
Results:
From 2015 to 2019, 158 patients with complicated appendicitis were operated, of them 54 had compromised base or stump. There were 66.7% men, with a mean age of 38.7 years. For stump closure, a simple knot was employed in 57.4%, and in 42.6% an invaginated suture was employed. Regarding complications, 16.7% developed intraabdominal abscess, 7.4% ileus and 7.4% had wound infection. We found one stump leak and one stump fistula. The mean length of stay was 5.4 days (range: 1-20). There were 5 reoperations, 4 for abscess drainage and 1 for stump leak.
Conclusions:
Patients with acute complicated appendicitis with compromised appendicular base, laparoscopic surgery either with simple knot or with invaginated suture resulted in low frequency of stump leaks and fistula.
Palabras llave : Acute appendicitis; Laparoscopic appendectomy; Complicated appendicitis; Appendix stump closure.