LAPAROSCOPIC APPENDICECTOMY: RISK FACTORS FOR CONVERSION TO LAPAROTOMY.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος:	LAPAROSCOPIC APPENDICECTOMY: RISK FACTORS FOR CONVERSION TO LAPAROTOMY.
Συγγραφείς:	Cherif M; Habib Thameur Hospital, Visceral Surgery - Tunis, Tunisia., Mesbahi M; Habib Thameur Hospital, Visceral Surgery - Tunis, Tunisia., Zaafouri H; Habib Thameur Hospital, Visceral Surgery - Tunis, Tunisia., Zebda H; Habib Thameur Hospital, Visceral Surgery - Tunis, Tunisia., Khedhiri N; Habib Thameur Hospital, Visceral Surgery - Tunis, Tunisia., Hadded D; Habib Thameur Hospital, Visceral Surgery - Tunis, Tunisia., Ben-Maamer A; Habib Thameur Hospital, Visceral Surgery - Tunis, Tunisia.
Πηγή:	Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery [Arq Bras Cir Dig] 2023 Jun 01; Vol. 36, pp. e1737. Date of Electronic Publication: 2023 Jun 01 (Print Publication: 2023).
Τύπος έκδοσης:	Journal Article
Γλώσσα:	English
Στοιχεία περιοδικού:	Publisher: Colégio Brasileiro de Cirurgia Digestiva Country of Publication: Brazil NLM ID: 9100283 Publication Model: eCollection Cited Medium: Internet ISSN: 2317-6326 (Electronic) Linking ISSN: 01026720 NLM ISO Abbreviation: Arq Bras Cir Dig Subsets: MEDLINE
Imprint Name(s):	Publication: São Paulo, Brasil : Colégio Brasileiro de Cirurgia Digestiva Original Publication: São Paulo, Brasil : Disciplina de Cirurgia do Aparelho Digestivo do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
Ιατρικοί όροι (MeSH):	Appendicitis/surgery , Appendicitis/complications , Laparoscopy*/methods, Appendectomy/methods ; Humans ; Retrospective Studies ; Laparotomy ; Risk Factors
Περίληψη:	Background: Laparoscopic appendectomy is the gold standard surgical procedure currently performed for acute appendicitis. The conversion rate is one of the main factors used to measure laparoscopic competence, being important to avoid wasting time in a laparoscopic procedure and proceed directly to open surgery. Aims: To identify the main preoperative parameters associated with a higher risk of conversion in order to determine the surgical method indicated for each patient. Methods: Retrospective study of patients admitted with acute appendicitis who underwent laparoscopic appendectomy. A total of 725 patients were included, of which 121 (16.7%) were converted to laparotomy. Results: The signiﬁcant factors that predicted conversion, identified by univariate and multivariate analysis, were: the presence of comorbidities (OR 3.1; 95%CI; p<0.029), appendicular perforation (OR 5.1; 95%CI; p<0.003), retrocecal appendix (OR 5.0; 95%CI; p<0.004), gangrenous appendix, presence of appendicular abscess (OR 3.6; 95%CI; p<0.023) and the presence of difficult dissection (OR 9.2; 95%CI; p<0.008). Conclusions: Laparoscopic appendectomy is a safe procedure to treat acute appendicitis. It is a minimally invasive surgery and has many advantages. Preoperatively, it is possible to identify predictive factors for conversion to laparotomy, and the ability to identify these reasons can aid surgeons in selecting patients who would beneﬁt from a primary open appendectomy.
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Entry Date(s):	Date Created: 20230607 Date Completed: 20230608 Latest Revision: 20230610
Update Code:	20260130
PubMed Central ID:	PMC10237275
DOI:	10.1590/0102-672020230019e1737
PMID:	37283393
Βάση Δεδομένων:	MEDLINE

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ISSN:	2317-6326
DOI:	10.1590/0102-672020230019e1737