J Clin Med Res

Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access

Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc

Journal website http://www.jocmr.org

Original Article

Volume 6, Number 4, August 2014, pages 261-266

Lessons Learned With Laparoscopic Management of Complicated Grades of Acute Appendicitis

Tables

**Table 1.** Patients Underwent a Laparoscopic Appendectomy for Complicated Acute Appendicitis According to the Laparoscopic Grading System (n = 154)
Grade	N	%
^*Most frequent complicated grade of acute appendicitis.
Grade 3A^*	50	32.4
Grade 3B	14	9.1
Grade 4A	43	27.9
Grade 4B	26	16.8
Grade 5	21	13.8
Total	154	100

**Table 2.** Mean Operating Time Spent During Laparoscopic Appendectomy for Complicated Grades of Acute Appendicitis From Four Similar Studies (n = 154)
Study or subgroup	Mean^*	SD^#	n^§
^*Mean operating time in minutes. ^#Standard deviation. ^§Sample of each series. ^µAuthor’s series.
Katsuno et al (2009) [17]	116.7	45	141
Lin et al (2006) [18]	96.1	43.1	99
So et al (2002) [19]	73	25	85
Khalili et al (1999) [20]	86	29	122
µGomes et al (2012)	69.4	26.3	154

**Table 3.** Wound and Intra-Abdominal Infection in Patients Who Underwent a Laparoscopic Appendectomy According to Laparoscopic Grading System (n = 154)
Surgical site infection	Laparoscopic grading system					Total
Surgical site infection	Grade 3A	Grade 3B	Grade 4A	Grade 4B	Grade 5	Event^#	%
^#Event (surgical site infection by each grade).
Wound
Yes	0	2	0	1	1	4	2.6
No	50	12	43	25	120	150	97.4
Total	50	14	43	26	212	154	100
Intra-abdominal
Yes	2	0	3	0	2	7	4.6
No	48	14	40	26	19	147	95.4
Total	50	14	43	26	21	154	100

**Table 4.** Conversion Rate and Operative Complications in Patients Who Underwent a Laparoscopic Appendectomy in Accordance to Laparoscopic Grading System (n = 154)
	Laparoscopic grading system					Total
	Grade 3A	Grade 3B	Grade 4A	Grade 4B	Grade 5	Event^#	%
Bleeding, iatrogenic injury, post-operative obstruction and enteric leak. ^#Conversion and complication in accordance to specific grade.
Laparotomy
Yes	0	5	2	0	1	8	5.2
No	50	9	41	26	20	142	94.8
Operative# complication
Yes	0	0	0	0	0	0	0
N (grade)	50	14	43	26	21	154	100