Laparoscopic versus open appendectomy—quality of life 7 years after surgery

Kapischke, Matthias; Friedrich, F; Hedderich, Jürgen; Schulz, Tim J.; Caliebe, Amke

doi:10.1007/s00423-010-0715-1

Cited by 37 publications

(25 citation statements)

References 28 publications

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“…This is equivalent to other retrospective quality-of-life studies reporting follow-up percentages between 37 and 52% after 2.5 to 7 years of follow-up [2, 42-44]. Baseline characteristics did not significantly differ between R and NR suggesting that the R group reflects the whole study population.…”

Section: Discussionmentioning

confidence: 48%

Severity of Diverticulitis Does Not Influence Abdominal Complaints during Long-Term Follow-Up

et al. 2018

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Background: Diverticulitis can lead to localized or generalized peritonitis and consequently induce abdominal adhesion formation. If adhesions would lead to abdominal complaints, it might be expected that these would be more prominent after operation for perforated diverticulitis with peritonitis than after elective sigmoid resection. Aims: The primary outcome of the study was the incidence of abdominal complaints in the long-term after acute and elective surgery for diverticulitis. Methods: During the period 2003 through 2009, 269 patients were operated for diverticular disease. Two hundred eight of them were invited to fill out a questionnaire composed of the gastrointestinal quality of life index and additional questions and finally 109 were suitable for analysis with a mean follow-up of 7.5 years. Results: Analysis did not reveal any significant differences in the incidence of abdominal complaints or other parameters. Conclusion: This retrospective study on patients after operation for diverticulitis shows that in the long term, the severity of the abdominal complaints is influenced neither by the stage of the disease nor by the fact of whether it was performed in an acute or elective setting.

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Section: Discussionmentioning

confidence: 48%

Severity of Diverticulitis Does Not Influence Abdominal Complaints during Long-Term Follow-Up

et al. 2018

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“…Many studies have reported the benefits of the laparoscopic approach over OA, including decreased morbidity, cost-effectiveness and length of hospital stay [16,17]. …”

Section: Discussionmentioning

confidence: 99%

Establishing the need for clinical follow-up after emergency appendicectomy in the modern era: Retrospective case series of 145 patients

Som

Seymour

Thrumurthy

et al. 2018

Annals of Medicine and Surgery

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IntroductionEmergency appendicectomy (EA) is a commonly performed operation, with an increasing number of EAs being performed as day-case. The aim of this study is to establish if there is a need for post-operative follow-up and if this could prevent adverse outcomes.MethodsA retrospective analysis of patients who underwent EA at multiple centres over a six-month period was undertaken. They were contacted by telephone and a standardised questionnaire was used to ascertain post-operative outcomes, including duration of analgesia use, duration before return to normal daily activity (ADLs), surgical site infection rates (SSI) and rates of re-presentation to medical services. Patients were stratified into those who underwent laparoscopic versus open appendicectomy, smokers versus non-smokers, and body mass index (BMI).ResultsA total of 145 patients were included in the study. Patients undergoing open surgery (vs. laparoscopic surgery) required analgesia for significantly longer periods, with a significantly longer return to ADLs. Smokers, when compared to non-smokers experienced a significantly longer return to work/school; and significantly higher risk of SSI and re-presenting to accident & emergency; as did patients with a BMI >30 when compared to those with a BMI <30.ConclusionMost patients do not need formal outpatient assessment after EA. However, there is clearly a subset of higher risk patients who may benefit from this – patients who are smokers or obese. They have prolonged recovery times, and are at greater risk of SSI. Earlier surgical outpatient follow-up of these patients could prevent adverse outcomes.

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“…However, it also conflicts with previous studies comparing LA and OA in terms of quality of life in both the short-term and the long-term in which better quality of life has been associated with LA. [18][19][20] Preference for the laparoscopic approach over the open approach in uncomplicated appendicitis is still justified because of the important role of laparoscopic appendectomy in surgical training and patient preference for minimally invasive surgery.…”

Section: Discussionmentioning

confidence: 99%

The comparison of open and laparoscopic appendectomy in uncomplicated appendicitis. A prospective randomized clinical trial.

Kocataş¹,

Gönenç²,

Bozkurt³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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Laparoscopic versus open appendectomy—quality of life 7 years after surgery

Abstract: Patients after laparoscopic appendectomy show a higher degree of satisfaction with their body and their scar than patients after open appendectomy.

Cited by 37 publications

References 28 publications

Severity of Diverticulitis Does Not Influence Abdominal Complaints during Long-Term Follow-Up

Severity of Diverticulitis Does Not Influence Abdominal Complaints during Long-Term Follow-Up

Establishing the need for clinical follow-up after emergency appendicectomy in the modern era: Retrospective case series of 145 patients

The comparison of open and laparoscopic appendectomy in uncomplicated appendicitis. A prospective randomized clinical trial.

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