SURGICAL OUTCOMES FOR THE TREATMENT OF APPENDICEAL ABSCESS AT THANH NHAN HOSPITAL
Main Article Content
Abstract
Background: Appendiceal abscess is a rare complication of acute appendicitis, accounting for 2-7% of cases. The optimal treatment approach remains controversial in clinical practice. Objective: To describe the epidemiological, clinical, and paraclinical characteristics of appendiceal abscess and evaluate the early outcomes of emergency surgery. Methods: A retrospective descriptive study was conducted on 1,190 patients with acute appendicitis at Thanh Nhan Hospital (January 2019 - December 2024). We analyzed 50 cases of appendiceal abscess undergoing emergency surgery. Results: The incidence of appendiceal abscess was 4.2%, with a mean age of 40.51 years (range: 15-89) and a male-to-female ratio of 1.94:1. The predominant symptoms were abdominal pain (100%), fever (78%), and abdominal wall tenderness (92%). Laboratory findings revealed leukocytosis (98%) and elevated CRP (96%). Imaging confirmed abscesses in 100% of cases. All patients underwent laparoscopic appendectomy, with an average operative time of 120 minutes and a postoperative hospital stay of 5 ± 1.3 days. The mortality rate was 0.02% (one case). Conclusion: Laparoscopic appendectomy is a safe and effective treatment for appendiceal abscess, demonstrating favorable early outcomes.
Article Details
Keywords
appendiceal abscess, laparoscopic surgery, Thanh Nhan Hospital
References

2. Debnath J, Kumar R, Mathur A, Sharma P, Kumar N, Shridhar N, et al. On the role of ultrasonography and ct scan in the diagnosis of acute appendicitis. Indian J Surg. 2015;77(Suppl 2):221–6.

3. Demetrashvili Z, Kenchadze G, Pipia I, Khutsishvili K, Loladze D, Ekaladze E, et al. Comparison of treatment methods of appendiceal mass and abscess: a prospective cohort study. Ann Med Surg (Lond). 2019;48:48–52.

4. Okune EB, Marek G, Jarosaw K. Management of appendiceal mass in children and adults: our experience. Internet J Surg. 2006 (cited 2021 Jan 24);9(2).

5. Elkbuli A, Diaz B, Polcz V, Hai S, McKenney M, Boneva D. Operative versus non-operative therapy for acute phlegmon of the appendix: is it safer? A case report and review of the literature. Int J Surg Case Rep. 2018;50:75–9.

6. Horvath P, Lange J, Bachmann R, Struller F, Königsrainer A, Zdichavsky M. Comparison of clinical outcome of laparoscopic versus open appendectomy for complicated appendicitis. Surg Endosc. 2017;31(1):199–205.

7. Vons C, Barry C, Maitre S, Pautrat K, Leconte M, Costaglioli B, et al. Amoxicillin plus clavulanic acid versus appendicectomy for treatment of acute uncomplicated appendicitis: an open-label, non-inferiority, randomised controlled trial. Lancet. 2011;377:1573–9.

8. Atema JJ, van Rossem CC, Leeuwenburgh MM, Stoker J, Boermeester MA. Scoring system to distinguish uncomplicated from complicated acute appendicitis. Br J Surg. 2015;102(8):979–90.

9. Tartaglia D, Fatucchi LM, Mazzoni A, Miccoli M, Piccini L, Pucciarelli M, et al. Risk factors for intra-abdominal abscess following laparoscopic appendectomy for acute appendicitis: a retrospective cohort study on 2076 patients. Updates Surg. 2020;72(4):1175–80.

10. Quah GS, Eslick GD, Cox MR. Laparoscopic appendicectomy is superior to open surgery for complicated appendicitis. Surg Endosc. 2019;33(7):2072–82.
