BACKGROUND: While laparoscopic appendectomy (LA) has become established in the diagnosis and treatment of acute appendicitis, its utilisation compared to open appendectomy (OA) is variable. AIM: To compare the utilisation and outcome of laparoscopic (LA) versus OA in an Irish regional hospital setting. METHOD: Retrospective review of OA and LA performed from 2003 to 2005. RESULTS: Intention-to-treat analysis of 787 patients in this study revealed that 149 patients (19%) had LA and 638 patients (81%) had OA. Consultants were significantly more likely than trainees to undertake a LA (P < 0.0001). Twenty-two complications (2.8%) were recorded in the post-operative period. The overall negative appendectomy rate by histopathology was 17% with no significant difference between the rate in the LA group (19%) and the OA (17%) group. CONCLUSION: Mean length of stay and complication rate were comparable between the LA and OA groups.
BACKGROUND: While laparoscopic appendectomy (LA) has become established in the diagnosis and treatment of acute appendicitis, its utilisation compared to open appendectomy (OA) is variable. AIM: To compare the utilisation and outcome of laparoscopic (LA) versus OA in an Irish regional hospital setting. METHOD: Retrospective review of OA and LA performed from 2003 to 2005. RESULTS: Intention-to-treat analysis of 787 patients in this study revealed that 149 patients (19%) had LA and 638 patients (81%) had OA. Consultants were significantly more likely than trainees to undertake a LA (P < 0.0001). Twenty-two complications (2.8%) were recorded in the post-operative period. The overall negative appendectomy rate by histopathology was 17% with no significant difference between the rate in the LA group (19%) and the OA (17%) group. CONCLUSION: Mean length of stay and complication rate were comparable between the LA and OA groups.
Authors: C Clay Cothren; Ernest E Moore; Jeffrey L Johnson; John B Moore; David J Ciesla; Jon M Burch Journal: Am J Surg Date: 2005-12 Impact factor: 2.565
Authors: Akpofure Peter Ekeh; Curtis J Wozniak; Benjamin Monson; Joseph Crawford; Mary C McCarthy Journal: Am J Surg Date: 2007-03 Impact factor: 2.565
Authors: Miguel Delgado-Rodriguez; Marcelino Medina-Cuadros; Gabriel Martínez-Gallego; Antonio Gómez-Ortega; Marcial Mariscal-Ortiz; Silvia Palma-Pérez; María Sillero-Arenas Journal: Infect Control Hosp Epidemiol Date: 2003-01 Impact factor: 3.254