International Surgery Journal | May 2018 | Vol 5 | Issue 5 Page 1610 International Surgery Journal Mohammed AF et al. Int Surg J. 2018 May;5(5):1610-1613 http://www.ijsurgery.com pISSN 2349-3305 | eISSN 2349-2902 Original Research Article Is there is a role for laparoscopy for treatment of appendicular mass? Asem F. Mohammed*, Mahmoud A. Shaheen, Mahmoud S. Eldesouky INTRODUCTION About 10% of acute appendicitis patients present as an appendicular mass. Its management still not well established. Conservative management is the treatment of choice by most surgeons and provides a good high success rate. 1 this is usually followed by interval appendectomy. 2 However, early laparoscopic appendectomy provides a less hospital stay, low morbidity, and decreases the occurrence of recurrent appendicitis. 3 Recently, LA has been used in patients with complicated appendicitis, such as gangrenenous, perforated or that presented as generalized peritonitis. 4-6 METHODS Between September 2012 and December 2013, 48 patients with a median age of 26 years underwent LA (Table 1). During that period, 8 patients (2 female) with a median age of 22 years (range, 18-60) were managed as appendicular mass, and underwent LA for 7 patients while one patient was converted to open approach that was presented as appendicular abscess (Table 1). Operative findings in 48 patients who underwent laparoscopic appendectomy Early laparoscopic appendectomy The 8 patients who presented acutely as suspected appendicular mass, 7 of them underwent early LA. The ABSTRACT Background: The surgical intervention for acute appendicitis presenting with appendicular mass is not well established. The aim of this study was to evaluate the benefits of early laparoscopy and laparoscopic appendectomy (LA) in the treatment of appendicular mass. Methods: During a 1-year period, 48 patients underwent LA for suspected appendicitis (n = 39), generalized peritonitis (n = 1), and an appendicular mass (n = 8). Results: All appendectomies were attempted and done laparoscopically except in one case (appendicular abscess), converted to an open approach. None of appendicular mass patients developed complications. There were no deaths. There was no significant difference between appendicular mass forming patients and non-mass-forming patients who underwent LA for an early appendicular mass as regard to the operative time (median [interquartile range]: 50 [36 – 60] vs 45 [25–50] min, p = 0.085) and postoperative hospital stay (median [interquartile range]: 2 [1–2] vs [1–2] days, p = 0.1). Conclusions: Early LA for appendicular mass patients is feasible, safe, and avoids misdiagnoses and the need for hospital readmission. Keywords: Acute appendicitis, Appendicular mass, Laparoscopic appendectomy, Peritonitis Department of General Surgery, Faculty of Medicine, Menoufia University, Egypt Received: 19 February 2018 Accepted: 26 March 2018 *Correspondence: Dr. Asem F. Mohammed, E-mail: AsemFayed10@yahoo.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: http://dx.doi.org/10.18203/2349-2902.isj20181579