Surgical Evaluation in a Patient With a Cecal Injury During Laparoscopic Appendectomy

Background: The large intestine is divided into several parts, with the first being a cecum. In such cases, laparoscopic cecectomy is a feasible treatment option for some patients.

Aim: The objective of this study is to evaluate the surgical outcomes of patients with cecal injury who underwent laparoscopic surgery in comparison with patients without cecal injury.

Patients and methods: A cross-sectional study was conducted on 96 patients with cecum who had undergone laparoscopic appendectomy. The participants were divided into two groups, comprising male and female subjects, respectively. The initial group comprised 48 patients with a cecum who had undergone laparoscopic appendectomy. The second group comprised 48 patients who had undergone appendectomy but did not have a cecum. All surgical, demographic, and postoperative outcomes were recorded, including complications, time to first bowel movement, and postoperative quality of life, for patients in both groups.

Results: The findings presented herein encompass the surgical data of patients. In a cohort of patients without cecal injury, the mean surgical time was 56.28 ± 8.04 minutes, with intraoperative bleeding observed in six cases. The mean postoperative pain score was 3.27 ± 1.03, with a mean hospital stay of 5.17 ± 1.72 days. The mean time to first bowel movement was 1.35 ± 0.45 days, and the mortality rate was 2%. The mortality rate was 4.17%, and the incidence of postoperative complications was 21%. The mean surgical time was 59.83 ± 10.12 minutes, with intraoperative bleeding occurring in 8 cases. The mean postoperative pain score was 3.88 ± 0.75, with a mean hospital stay of 7.26 ± 3.01 days. The mean time to first bowel movement was 2.62 ± 0.94 days.

Conclusion: For patients with cecal, laparoscopic appendectomy (LA) may have a big impact, especially on recovery and complications.