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Ivakhov G.B.

Pirogov Russian National Research Medical University & ,V.S. Savel’ev University Faculty Clinic, Moscow, Russia

Sazhin A.V.

Pirogov Russian National Research Medical University

Ermakov I.V.

Pirogov Russian National Research Medical University, Moscow, Russia;
City Clinical Hospital №29 of Moscow Healthcare Department, Moscow, Russia

Titkova S.M.

Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia

Anurov M.V.

Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia

Nechay T.V.

Department of general surgery and radiology, Russian National Research Medical University named after N.I. Pirogov, Moscow

Laparoscopic surgery for advanced appendicular peritonitis

Authors:

Ivakhov G.B., Sazhin A.V., Ermakov I.V., Titkova S.M., Anurov M.V., Nechay T.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2020;(5): 20‑26

DOI: 10.17116/hirurgia202005120

Views: 4922

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To cite this article:

Ivakhov GB, Sazhin AV, Ermakov IV, Titkova SM, Anurov MV, Nechay TV. Laparoscopic surgery for advanced appendicular peritonitis. Pirogov Russian Journal of Surgery. 2020;(5):20‑26. (In Russ.)
https://doi.org/10.17116/hirurgia202005120

Подписка 2025 (Pirogov Russian Journal of Surgery)
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Objective. To evaluate the results of laparoscopic treatment of patients with advanced appendicular peritonitis. Material and methods. There were 271 patients with acute appendicitis complicated by peritonitis. The main group consisted of patients who underwent laparoscopic appendectomy after diagnostic laparoscopy (n=231), the control group — diagnostic laparoscopy followed by conversion to median laparotomy (n=36). Four extremely ill patients were operated through laparotomy and excluded from the further analysis. Results. Diagnostic laparoscopy was performed in 267 patients with advanced appendicular peritonitis. Laparoscopic appendectomy, debridement and abdominal drainage were performed in 231 (85.2%) patients. Mean age of patients was 44±18.5 years, duration of disease — 36.2±20.3 hours. Diffuse peritonitis was diagnosed in 219 (82%) patients, advanced peritonitis — in 48 (16.5%) cases. Incidence of conversion was 13.5%. Mortality was absent in both groups. Postoperative morbidity was significantly higher in the conversion group (72.2% vs. 29.4%, p<0.0001). Conclusion. Laparoscopic interventions for common appendicular peritonitis are feasible, effective and reduce postoperative morbidity.

Keywords:

acute appendicitis
advanced peritonitis
minimally invasive surgery
laparoscopic appendectomy

Authors:

Ivakhov G.B.

Pirogov Russian National Research Medical University & ,V.S. Savel’ev University Faculty Clinic, Moscow, Russia

Sazhin A.V.

Pirogov Russian National Research Medical University

Ermakov I.V.

Pirogov Russian National Research Medical University, Moscow, Russia;
City Clinical Hospital №29 of Moscow Healthcare Department, Moscow, Russia

Titkova S.M.

Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia

Anurov M.V.

Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia

Nechay T.V.

Department of general surgery and radiology, Russian National Research Medical University named after N.I. Pirogov, Moscow

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