Videolaparoscopic appendectomy: the current outlook

Roviaro, Giancarlo; Vergani, Contardo; Varoli, F.; Francese, M.; Caminiti, Rocco; Maciocco, M.

doi:10.1007/s00464-005-0021-0

Cited by 11 publications

(5 citation statements)

References 40 publications

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“…There is evidence that minimal surgical trauma through laparoscopic approach resulted in significant shorter hospital stay, less postoperative pain, faster return to daily activities in several settings related with gastrointestinal surgery [6, 7]. However, several retrospective studies [3, 8–14], several randomized trials [15–20] and meta-analyses [21, 22] comparing laparoscopic with open appendectomy have provided conflicting results. Some of these studies have demonstrated better clinical outcomes with the laparoscopic approach [15–17, 20, 23], while other studies have shown marginal or no clinical benefits [18, 19, 24–26] and higher surgical costs [4, 19, 24, 25].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic versus open appendectomy: a retrospective cohort study assessing outcomes and cost-effectiveness

et al. 2016

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BackgroundAppendectomy is the most common surgical procedure performed in emergency surgery. Because of lack of consensus about the most appropriate technique, appendectomy is still being performed by both open (OA) and laparoscopic (LA) methods. In this retrospective analysis, we aimed to compare the laparoscopic approach and the conventional technique in the treatment of acute appendicitis.MethodsRetrospectively collected data from 593 consecutive patients with acute appendicitis were studied. These comprised 310 patients who underwent conventional appendectomy and 283 patients treated laparoscopically. The two groups were compared for operative time, length of hospital stay, postoperative pain, complication rate, return to normal activity and cost.ResultsLaparoscopic appendectomy was associated with a shorter hospital stay (2.7 ± 2.5 days in LA and 1.4 ± 0.6 days in OA), with a less need for analgesia and with a faster return to daily activities (11.5 ± 3.1 days in LA and 16.1 ± 3.3 in OA). Operative time was significantly shorter in the open group (31.36 ± 11.13 min in OA and 54.9 ± 14.2 in LA). Total number of complications was less in the LA group with a significantly lower incidence of wound infection (1.4 % vs 10.6 %, P <0.001). The total cost of treatment was higher by 150 € in the laparoscopic group.ConclusionThe laparoscopic approach is a safe and efficient operative procedure in appendectomy and it provides clinically beneficial advantages over open method (including shorter hospital stay, decreased need for postoperative analgesia, early food tolerance, earlier return to work, lower rate of wound infection) against only marginally higher hospital costs.Trial registrationNCT02867072 Registered 10 August 2016. Retrospectively registered.

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Section: Introductionmentioning

confidence: 99%

Laparoscopic versus open appendectomy: a retrospective cohort study assessing outcomes and cost-effectiveness

et al. 2016

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“…However, several studies was found in literature like Guller et al, (20) Roviaro et al, (21) , several trials of Ortega et al, (22) ; Ignacio et al, (23) and meta-analyses of Wei et al, (24) ; Sauerland et al, (25) comparing laparoscopic with open appendectomy have provided some conflicting results. Some of these studies have showed a better clinical outcome with the laparoscopic approach, while other studies have shown minor or no clinical benefits and higher cost to preform (26) .…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic versus open surgery for suspected appendicitis

Mahmoud

2020

Minia Journal of Medical Research

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Background: Appendectomy is one among the foremost common surgery wiped out emergency surgery. Appendectomy remains being performed by both open (OA) and laparoscopic (LA) methods. This study compared clinical outcomes between laparoscopic appendectomy technique and open surgery method for suspected appendicitis. Methods: This interventional study was performed for 50 patients diagnosed as suspected appendicitis. They were assigned to open appendectomy or laparoscopic appendectomy randomly. Results: a significant difference was found between the two studied groups according to operation time with longer in LAP appendicectomy technique; and there have been 4 cases of site infection of surgery in open appendicectomy group and 1 case in LAP appendicectomy group, no statistically significant difference in surgical site infection between the 2 studied groups. Conclusion: Provided that surgical experience and equipment are available, laparoscopy might be considered safe and equally efficient compared to open technique and will be undertaken because the initial procedure of choice for many cases of suspected appendicitis. However, since there's no consensus to the simplest approach, both procedures (open and laparoscopic appendectomy) are still being practiced actively deferring the selection to the preference of surgeon and patients.

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“…[1][2][3] We report our experience with this surgical approach, focusing on some technical details which we have matured during these years.…”

Section: Introductionmentioning

confidence: 99%

Treatment of acute appendicitis with one-port transumbilical laparoscopic-assisted appendectomy: A six-year, single-centre experience

Guanà¹,

Gesmundo²,

Maiullari³

et al. 2010

Afr J Paediatr Surg

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Videolaparoscopic appendectomy: the current outlook

Cited by 11 publications

References 40 publications

Laparoscopic versus open appendectomy: a retrospective cohort study assessing outcomes and cost-effectiveness

Laparoscopic versus open appendectomy: a retrospective cohort study assessing outcomes and cost-effectiveness

Laparoscopic versus open surgery for suspected appendicitis

Treatment of acute appendicitis with one-port transumbilical laparoscopic-assisted appendectomy: A six-year, single-centre experience

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