Subject: complicated appendicitis
Subject: aparoscopic appendectomy
Subject: operative time
Subject: learning curve
Year: 2021
Type: Article
Title: MASTERING THE LEARNING CURVE SIGNIFICANTLY REDUCES OPERATIVE TIME FOR LAPAROSCOPIC TREATMENT OF COMPLICATED APPENDICITIS
Author: Nikolovski, Andrej
Author: Otljanski, Aleksandar
Author: Selmani, Rexhep
Author: Antovikj, Svetozar
Author: Jankulovski, Nikola
Abstract: Laparoscopic appendectomy is the preferred operative method for acute appendicitis treatment. In terms of complicated appendicitis it can be effective in hands of an experienced laparoscopist that overwhelmed the learning curve for the method. Aim: Тhis retrospective study examines whether the operative time for laparoscopic appendectomy for complicated appendicitis is shortened after mastering the learning curve. Material and methods: A total number of 196 patients were operated for the diagnosis of acute appendicitis, of whom 77 were diagnosed with complicated appendicitis. They were subsequently divided in two groups (laparoscopic and open). Operative time in both groups was measured and the conversion and postoperative complications were noted. Results: Conversion rate was 2.3%. Operative time was shorter in the laparoscopic group (67.4 ± 22.9 vs. 77.9 ± 17.9 minutes; p = 0.033). Overall postoperative morbidity was 25.97% with wound infection present only in the open group (p = 0.018). Intraabdominal abscess occurred in one patient from the laparoscopic group (0.38%). Length of hospital stay was shorter in the laparoscopic group (4.3 ± 2.2 vs. 5.7 ± 2.1, p = 0.0052).
Publisher: INSTITUTE OF PUBLIC HEALTH OF REPUBLIC OF NORTH MACEDONIA
Relation: ARCHIVES OF PUBLIC HEALTH
Identifier: oai:repository.ukim.mk:20.500.12188/14543
Identifier: Nikolovski A, Otljanski A, Selmani R, An-tovic S, Jankulovski N. Mastering the learning curve significantly reduces operative time for laparoscopic treatment of complicated appendicitis. Arch Pub Health 2021; 13 (2) 1-5.
Identifier: http://hdl.handle.net/20.500.12188/14543Identifier: 10.3889/aph.2021.6000
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