Analysis of 68 Cases of Periappendicular Abscess Treated by Laparoscopic Surgery in Stage I

Objective: To evaluate the efficacy and feasibility of laparoscopic surgery as a primary treatment for periappendiceal abscess. Methods: 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. Results: All 68 patients successfully underwent primary laparoscopic appendectomy. The mean operative time was 55.15 ± 12.3055.15 \pm 12.3055.15 ± 12.30 minutes, and the intraoperative blood loss averaged 15.35 ± 6.5215.35 \pm 6.5215.35 ± 6.52 ml. The time to first flatus was 21.5 ± 2.3021.5 \pm 2.3021.5 ± 2.30 hours, the time for white blood cell normalization was 5.50 ± 1.505.50 \pm 1.505.50 ± 1.50 days, and the postoperative hospital stay was 10.50 ± 2.3010.50 \pm 2.3010.50 ± 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. Conclusion: Laparoscopic surgery in the primary stage for periappendiceal abscess is a safe and feasible treatment option.