Vol. 13 No. 2 (2021): Archives of Public Health
Clinical Science

Mastering the learning curve significantly reduces operative time for laparoscopic treatment of complicated appendicitis

Andrej Nikolovski
University Surgery Clinic “Sv. Naum Ohridski”; Ss Cyril and Methodius University in Skopje, Faculty of Medicine, Skopje, Republic of North Macedonia
Aleksandar Otljanski
University Surgery Clinic “Sv. Naum Ohridski”; Ss Cyril and Methodius University in Skopje, Faculty of Medicine, Skopje, Republic of North Macedonia
Rexhep Seljmani
University Clinic for Digestive Surgery; Ss Cyril and Methodius University in Skopje, Faculty of Medicine, Skopje, Republic of North Macedonia
Svetozar Antovic
University Clinic for Digestive Surgery; Ss Cyril and Methodius University in Skopje, Faculty of Medicine, Skopje, Republic of North Macedonia
Nikola Jankulovski
University Clinic for Digestive Surgery; Ss Cyril and Methodius University in Skopje, Faculty of Medicine, Skopje, Republic of North Macedonia

Published 2021-11-20

Keywords

  • complicated appendicitis,
  • laparoscopic appendectomy,
  • operative time,
  • learning curve

How to Cite

1.
Nikolovski A, Otljanski A, Seljmani R, Antovic S, Jankulovski N. Mastering the learning curve significantly reduces operative time for laparoscopic treatment of complicated appendicitis. Arch Pub Health [Internet]. 2021 Nov. 20 [cited 2024 Mar. 29];13(2):96-100. Available from: https://id-press.eu/aph/article/view/6000

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).

 

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