Laparoscopic versus open appendectomy: Which way to go?
Open Access
- 1 January 2008
- journal article
- research article
- Published by Baishideng Publishing Group Inc. in World Journal of Gastroenterology
- Vol. 14 (31), 4909-4914
- https://doi.org/10.3748/wjg.14.4909
Abstract
AIM: To compare the outcome of laparoscopic versus open appendectomy. METHODS: 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. RESULTS: 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 € in the laparoscopic group. CONCLUSION: Laparoscopic appendectomy is as safe and efficient as open appendectomy, provided surgical experience and equipment are available.Keywords
This publication has 39 references indexed in Scilit:
- Videolaparoscopic appendectomy: the current outlookSurgical Endoscopy, 2006
- Laparoscopic Versus Open Appendectomy for Perforated AppendicitisJournal of Gastrointestinal Surgery, 2006
- Laparoscopic appendectomy significantly reduces length of stay for perforated appendicitisSurgical Endoscopy, 2006
- Laparoscopic Versus Standard Appendectomy Outcomes and Cost Comparisons in the Private SectorJournal of Gastrointestinal Surgery, 2005
- The benefits of a dedicated minimally invasive surgery program to academic general surgery practiceJournal of Gastrointestinal Surgery, 2004
- Laparoscopic versus open surgery for suspected appendicitisPublished by Wiley ,2004
- Laparoscopic appendectomy for complicated appendicitis: an evaluation of postoperative factorsSurgical Endoscopy, 2004
- Laparoscopic Versus Open AppendectomyAnnals of Surgery, 2004
- Laparoscopic versus open appendectomy: a prospective randomized trial of 81 patients.1996
- A prospective, randomized comparison of laparoscopic appendectomy with open appendectomyThe American Journal of Surgery, 1995