Laparoscopic versus open appendectomy: which way to go?

World Journal of Gastroenterology : WJG
Ioannis KehagiasFotis Kalfarentzos

Abstract

To compare the outcome of laparoscopic versus open appendectomy. Prospectively collected data from 293 consecutive patients with acute appendicitis were studied. These comprised of 165 patients who underwent conventional appendectomy and 128 patients treated laparoscopically. The two groups were compared with respect to operative time, length of hospital stay, postoperative pain, complication rate and cost. There were no statistical differences regarding patient characteristics between the two groups. Conversion to laparotomy was necessary in 2 patients (1.5%). Laparoscopic appendectomy was associated with a shorter hospital stay (2.2 d vs 3.1 d, P = 0.04), and lower incidence of wound infection (5.3% vs 12.8%, P = 0.03). However, in patients with complicated disease, intra-abdominal abscess formation was more common after laparoscopic appendectomy (5.3% vs 2.1%, P = 0.002). The operative time and analgesia requirements were similar in the two groups. The cost of treatment was higher by 370 EUR in the laparoscopic group. Laparoscopic appendectomy is as safe and efficient as open appendectomy, provided surgical experience and equipment are available.

References

Nov 1, 1992·Surgical Endoscopy·K N ApelgrenJ M Kisala
Nov 1, 1990·American Journal of Epidemiology·D G AddissR V Tauxe
Oct 1, 1988·The British Journal of Surgery·Z H KrukowskiN A Matheson
Mar 1, 1983·Endoscopy·K Semm
Sep 1, 1995·Annals of Surgery·L C MartinD Sleeman
May 1, 1996·Archives of Surgery·R C Frazee, W T Bohannon
Dec 1, 1996·Surgical Endoscopy·M R EvasovichL Treen
Mar 1, 1997·Surgical Endoscopy·C A JacobiJ M Müller
May 16, 1998·Journal of the American College of Surgeons·R GolubD Pohl
Oct 17, 1998·Langenbeck's Archives of Surgery·S SauerlandE A Neugebauer
Feb 9, 1999·Surgical Laparoscopy & Endoscopy·J M GarbuttB Littenberg
Aug 10, 2000·American Journal of Surgery·A M MerhoffM E Franklin
Oct 6, 2001·American Journal of Surgery·R J Kurtz, T M Heimann
Nov 17, 2001·Diseases of the Colon and Rectum·C WullsteinE Gross
May 22, 2002·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Luciano FogliFrancesco Domenico Capizzi
Oct 16, 2004·The American Surgeon·Alfredo M CarbonellKristi L Harold
Oct 21, 2004·The Cochrane Database of Systematic Reviews·S SauerlandE A M Neugebauer
Nov 9, 2004·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Robert E GlasgowSean J Mulvihill
Dec 28, 2004·American Journal of Surgery·Ninh T NguyenSamuel E Wilson
Dec 30, 2004·Surgical Endoscopy·D E MooreM D Holzman
Sep 2, 2005·Annals of Surgery·Namir KatkhoudaRahila Essani
Nov 5, 2005·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Cláudio BrescianiJoaquim Gama-Rodrigues
Jun 14, 2006·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Heng-Fu LinI-Rue Lai
Aug 10, 2006·Surgical Endoscopy·G C RoviaroM Maciocco
Dec 14, 2006·Advances in Surgery·Namir KatkhoudaShirin Towfigh

❮ Previous
Next ❯

Citations

Oct 11, 2011·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Laura HaasJonas Schreyoegg
Oct 24, 2009·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Alexander W PhillipsKevin Sargen
Dec 15, 2010·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Zhihua LiuHuanglong Qin
Feb 25, 2011·World Journal of Emergency Surgery : WJES·Nicole LopezRaul Coimbra
Nov 5, 2013·World Journal of Emergency Surgery : WJES·David Costa-NavarroAzahara Illán-Riquelme
Jul 6, 2011·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Jawad KhalilMansoor Khan
Oct 12, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Hanh Tran
Sep 5, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jie HuaZhenshun Song
Apr 2, 2011·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·T E Langwieler, M Back
Oct 31, 2012·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Hao XuMakoto Hashizume
Apr 16, 2013·Enfermedades infecciosas y microbiología clínica·José Manuel Aranda-NarváezJulio Santoyo-Santoyo
Oct 4, 2011·The Journal of Surgical Research·Brian McGrathVanita Ahuja
Jul 21, 2009·Urology·Alex J VanniJohn T Stoffel
Sep 3, 2014·The Journal of Surgical Research·Yanan WangGuoxin Li
Nov 22, 2011·Journal of the Korean Society of Coloproctology·Hyun Nam BaekYong Hee Hwang
Nov 30, 2018·The Cochrane Database of Systematic Reviews·Thomas JaschinskiStefan Sauerland
Jan 27, 2016·World Journal of Gastroenterology : WJG·Matteo MandrioliSalomone Di Saverio
Mar 15, 2019·Surgical Endoscopy·Gaik S QuahMichael R Cox
Sep 2, 2016·World Journal of Emergency Surgery : WJES·Antonio BiondiLuigi Piazza
Oct 22, 2018·Langenbeck's Archives of Surgery·Mahdi EskandarlouMohammad Ali Seif-Rabiei
Feb 3, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Tomoya TakamiShinichiro Makimoto
Aug 8, 2019·Surgical Endoscopy·Michael ArnoldCaroline E Reinke
Jan 12, 2021·Case Reports in Surgery·Sadi A AbukhalafKhalil N Abuzaina
Jun 8, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Khalid KhanKhurram Siddique

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

JSLS : Journal of the Society of Laparoendoscopic Surgeons
Abdul Razak ShaikhGulshan Ara Shaikh
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
John BennettMichael Rhodes
© 2022 Meta ULC. All rights reserved