Deriving the indications for laparoscopic appendectomy from a comparison of the outcomes of laparoscopic and open appendectomy

Maxwell, J. Gary; Robinson, Christopher L; Maxwell, Thane G; Maxwell, Bryan G.; Smith, Cliff R; Brinker, Carla

doi:10.1016/s0002-9610(01)00798-x

Cited by 28 publications

(10 citation statements)

References 10 publications

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“…Gender differences in the immune response of the gut have been described [15], but not specifically regarding appendicitis. Boys underwent an open appendectomy significantly more often than girls, which has been described previously in adults [16][17][18]. In the present study, the gender differences between open and laparoscopic approaches could be due to the more frequent perforated appendicitis observed in boys.…”

Section: Discussionsupporting

confidence: 65%

“…In the present study, the gender differences between open and laparoscopic approaches could be due to the more frequent perforated appendicitis observed in boys. We found no difference in the frequency of laparoscopic appendectomy (LA) between the genders; in adults, women were reported to be more likely to have their appendix removed laparoscopically [16][17][18].…”

Section: Discussionmentioning

confidence: 84%

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Appendicitis in children from a gender perspective

et al. 2015

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In children with appendicitis, there are some gender differences. Girls had negative appendectomies more often, despite having more preoperative imaging and they had operative complications more frequently, despite having less frequent perforations. Boys had a higher frequency of perforation even though their time to appendectomy equaled that of girls. These findings and the reasons behind them must be further studied.

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Section: Discussionsupporting

confidence: 65%

Section: Discussionmentioning

confidence: 84%

Appendicitis in children from a gender perspective

et al. 2015

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“…The median operative time in our study was 82 minutes for LA, which is relatively longer than that reported by other studies. [20–22] This is probably related to the surgical practices in our university hospital where most of the procedures are performed by the surgical trainee under the direct supervision of the attending surgeon. …”

Section: Discussionmentioning

confidence: 99%

Laparoscopic appendectomy for acute appendicitis: Is this a feasible option for developing countries?

Ali

Khan

Pishori

et al. 2010

Saudi J Gastroenterol

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Background/Aim:The role of laparoscopic appendectomy is still not well defined in the literature. This study was conducted to evaluate the feasibility of laparoscopic appendectomy at a university hospital in a developing country.Patients and Methods:Patients undergoing laparoscopic appendectomy (LA) from August 2002 to August 2006 were identified. For each case, a control was selected from patients undergoing open appendectomy (OA) during the same year by systematic sampling. The groups were compared in terms of duration of surgery, requirement of narcotic analgesia, length of hospital stay, postoperative complications and the overall cost for each patient.Results:A total of 68 patients underwent laparoscopic appendectomy during the study period. Median duration of surgery was 82 minutes in LA group and 70 minutes in OA group (P < 0.001). Forty-five patients in LA group and 64 in OA group required narcotic analgesia (P < 0.001). Median length of hospital stay (P = 0.672) and postoperative complications (P = 0.779) were comparable in both groups. Median cost of hospital stay was Pakistani Rupees (PKR) 47121/in LA group and PKR 39318/in OA group, the difference being significant (P = 0.001).Conclusions:Laparoscopic appendectomy is feasible in developing countries with similar postoperative outcome and less requirement of narcotic analgesia. The duration of surgery and overall cost were significantly higher and efforts should be made to develop expertise and reduce operative time with resultant decrease in cost. Development of standardized protocols for discharge of patients from the hospital after LA may further reduce the cost and benefit patients in developing countries.

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“…These problems, which we also describe [27,37], have become gradually less frequent as surgeons have gained experience. Currently, they are very rare indeed.…”

Section: Discussionmentioning

confidence: 90%