INTRODUCTION: Appendicectomy is the most common surgical procedure performed in general surgery. This study aimed to compare the outcomes of open appendicectomy (OA), laparoscopic appendicectomy (LA) and single port laparoscopic appendicectomy (SPLA). METHODS: Fifty consecutive patients with suspected acute appendicitis were studied (OA: n=20, LA: n=20, SPLA: n=10). Clinical outcomes were compared between the three groups in terms of operative time, blood loss, postoperative complications, length of hospital stay and cost. RESULTS: Patient demographics were similar among groups (p>0.05). SPLA was characterised by longer operative time (88.1 minutes vs 35.6 minutes in OA and 33.4 minutes in LA) and higher costs (12.84 thousand Chinese yuan [RMB] vs 8.41 thousand RMB in LA and 4.99 thousand RMB in OA). OA was characterised by more blood loss (9.8ml vs 7.5ml in SPLA and 6.8ml in LA), longer hospital stay (7.5 days vs 3.5 days in LA and 3.4 days in SPLA) and lower costs. The total number of complications was higher for OA (n=2) than for LA and SPLA (n=0) although this was not statistically significant. CONCLUSIONS: Where feasible, LA should be undertaken as the initial treatment of choice for most cases of suspected appendicitis.
INTRODUCTION: Appendicectomy is the most common surgical procedure performed in general surgery. This study aimed to compare the outcomes of open appendicectomy (OA), laparoscopic appendicectomy (LA) and single port laparoscopic appendicectomy (SPLA). METHODS: Fifty consecutive patients with suspected acute appendicitis were studied (OA: n=20, LA: n=20, SPLA: n=10). Clinical outcomes were compared between the three groups in terms of operative time, blood loss, postoperative complications, length of hospital stay and cost. RESULTS:Patient demographics were similar among groups (p>0.05). SPLA was characterised by longer operative time (88.1 minutes vs 35.6 minutes in OA and 33.4 minutes in LA) and higher costs (12.84 thousand Chinese yuan [RMB] vs 8.41 thousand RMB in LA and 4.99 thousand RMB in OA). OA was characterised by more blood loss (9.8ml vs 7.5ml in SPLA and 6.8ml in LA), longer hospital stay (7.5 days vs 3.5 days in LA and 3.4 days in SPLA) and lower costs. The total number of complications was higher for OA (n=2) than for LA and SPLA (n=0) although this was not statistically significant. CONCLUSIONS: Where feasible, LA should be undertaken as the initial treatment of choice for most cases of suspected appendicitis.
Authors: K H Long; M P Bannon; S P Zietlow; E R Helgeson; W S Harmsen; C D Smith; D M Ilstrup; Y Baerga-Varela; M G Sarr Journal: Surgery Date: 2001-04 Impact factor: 3.982
Authors: A Hellberg; C Rudberg; E Kullman; L Enochsson; G Fenyö; H Graffner; B Hallerbäck; B Johansson; B Anderberg; J Wenner; I Ringqvist; S Sörensen Journal: Br J Surg Date: 1999-01 Impact factor: 6.939
Authors: Ulrich Guller; Sheleika Hervey; Harriett Purves; Lawrence H Muhlbaier; Eric D Peterson; Steve Eubanks; Ricardo Pietrobon Journal: Ann Surg Date: 2004-01 Impact factor: 12.969
Authors: Hyung Ook Kim; Chang Hak Yoo; Sung Ryol Lee; Byung Ho Son; Yong Lai Park; Jun Ho Shin; Hungdai Kim; Won Kon Han Journal: J Korean Surg Soc Date: 2012-02-27