%0 Journal Article
%T Analysis of 68 Cases of Periappendicular Abscess Treated by Laparoscopic Surgery in Stage I
%A Zhiyong Zhu
%A Juan Su
%A Xiaoyu Li
%A Shuai Wang
%J Surgical Science
%P 599-605
%@ 2157-9415
%D 2024
%I Scientific Research Publishing
%R 10.4236/ss.2024.1512057
%X <b>Objective</b>: To evaluate the efficacy and feasibility of laparoscopic surgery as a primary treatment for periappendiceal abscess. <b>Methods</b>: A retrospective analysis was conducted on 68 patients with periappendiceal abscess undergoing laparoscopic surgery in the primary stage. Intraoperative and postoperative outcomes were subjected to statistical analysis. <b>Results</b>: All 68 patients successfully underwent primary laparoscopic appendectomy. The mean operative time was 55.15 &#177; 12.3055.15 \pm 12.3055.15 &#177; 12.30 minutes, and the intraoperative blood loss averaged 15.35 &#177; 6.5215.35 \pm 6.5215.35 &#177; 6.52 ml. The time to first flatus was 21.5 &#177; 2.3021.5 \pm 2.3021.5 &#177; 2.30 hours, the time for white blood cell normalization was 5.50 &#177; 1.505.50 \pm 1.505.50 &#177; 1.50 days, and the postoperative hospital stay was 10.50 &#177; 2.3010.50 \pm 2.3010.50 &#177; 2.30 days. None of the cases required conversion to open surgery. Over a follow-up period ranging from 5 to 29 months (median: 16 months), no complications, including intra-abdominal abscess, stump leakage, stump inflammation, or adhesive bowel obstruction, were observed. <b>Conclusion</b>: Laparoscopic surgery in the primary stage for periappendiceal abscess is a safe and feasible treatment option.
%K Periappendiceal Abscess
%K Laparoscopy
%K Primary Surgery
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=138276