According to the SAGES guidelines, when is laparoscopic appendectomy the preferred approach in the treatment of appendicitis?

Updated: Jul 23, 2018
  • Author: Sandy Craig, MD; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

According to the 2010 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) guideline, the indications for laparoscopic appendectomy are identical to those for open appendectomy. [63]

The 2010 SAGES guideline lists the following conditions as suitable for laparoscopic appendectomy [63] :

  • Uncomplicated appendicitis

  • Appendicitis in pediatric patients

  • Suspected appendicitis in pregnant women

According to the SAGES guideline, laparoscopic appendectomy may be the preferred approach in the following cases [63] :

  • Perforated appendicitis

  • Appendicitis in elderly patients

  • Appendicitis in obese patients

The SAGES guideline states that the laparoscopic approach should be preferred in women of childbearing age with presumed appendicitis. [63]


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