A comprehensive analysis of 3,411 laparoscopic appendectomies revealed a conversion rate to open surgery of 0.96%, which stabilized around 0.4% after the initial learning curve. Key conversion causes included appendix base perforation, abdominal adhesions, and pneumoperitoneum intolerance. Preoperative factors linked to higher conversion rates included age over 65 and symptom duration exceeding 24 hours, with age remaining a significant predictor post-analysis. The findings affirm that laparoscopic approaches are preferable even in at-risk patients.
Journal Article by Aragone L, Arrechea R (…) Pirchi D et 2 al. in Eur Surg Res
The Author(s). Published by S. Karger AG, Basel.