A prospective study of safety and satisfaction with same-day discharge after laparoscopic appendectomy for acute appendicitis

Alkhoury, Fuad; Burnweit, Cathy; Malvezzi, Leopoldo; Knight, Colin G.; Diana, Jeannette; Pasarón, Raquel; Mora, JoAnne; Nazarey, Pradeep; Aserlind, Alexandra; Stylianos, Steven

doi:10.1016/j.jpedsurg.2011.11.024

Cited by 88 publications

(81 citation statements)

References 16 publications

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“…No difference in hospital stay was observed between the two approaches, while the heterogeneity was mainly caused by the different discharge criteria among the hospitals in the studies. After all, CLA is already associated with a quite short hospital duration, so much so that routine same-day discharge after pediatric patients who undergo CLA for acute appendicitis was studied and determined to be safe with good parent satisfaction [44]. Thus the results that SILA did not lead to a shorter hospital stay than CLA were reasonable.…”

Section: Study or Subgroupmentioning

confidence: 99%

Systematic review and meta-analysis of single-incision versus conventional laparoscopic appendectomy in children

Zhang¹,

Wang²,

Liu³

et al. 2015

Journal of Pediatric Surgery

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Section: Study or Subgroupmentioning

confidence: 99%

Systematic review and meta-analysis of single-incision versus conventional laparoscopic appendectomy in children

Zhang¹,

Wang²,

Liu³

et al. 2015

Journal of Pediatric Surgery

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“…Recent data from other single-institution studies have validated the safety of SDD after appendectomy for uncomplicated appendicitis [6e13]. In addition to safety, one study found that most parents of these patients are satisfied with an earlier discharge home [10]. Some of the literature even indicates that there is potential for cost savings with SDD [7,9].…”

Section: Introductionmentioning

confidence: 99%

Variability in same-day discharge for pediatric appendicitis

Oyetunji

Gonzalez

Aguayo

et al. 2015

Journal of Surgical Research

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“…18 Appropriate patient evaluations and same day discharges may also help to reduce the duration and cost of hospital stays. 19,20 …”

Section: Discussionmentioning

confidence: 99%

Cost Comparison between Laparoscopic and Open Appendectomies in Children = مقارنة بين تكلفة عمليات إستئصال الزائدة عن طريق فتح البطن و المناظير عند الأطفال

Khan¹,

Al-Balushi²,

Bhatti³

et al. 2013

SQUMJ

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P = 0.32 ،11.7% ‫بالفتح‬ ‫بامل�شت�شفى.‬ ‫إقامة‬ ‫ال‬ ‫فرتة‬ ‫طول‬ ‫أو‬ ‫ا‬ ‫املرا�شة‬ ‫عمان.‬ ‫التكلفة؛‬ ‫وحتليل‬ ‫التكلفة‬ ‫الزائدة؛‬ ‫ا�شتئ�شال‬ ‫الزائدة؛‬ ‫التهاب‬ ‫الكلمات:‬ ‫مفتاح‬ abstract: Objectives: Laparoscopic appendectomy (LA) for children has become very popular and is routinely performed in most health care centres around the world. The cost of surgical procedures is always a concern for patients and health care providers. This study compares, the total cost of open appendectomy (OA) with LA in children who required an appendectomy for acute appendicitis. Suitable and safe cost-effective techniques were also explored to reduce the cost of these procedures. Methods: The medical records of all the children (ranging between 0 and 12 years) at Sultan Qaboos University Hospital in Oman, who required OA or LA from June 2009 to July 2011, were reviewed. Results: LA were performed in 75 patients while OA were done in 34. Patients from the OA and LA groups were age-and gender-matched. The average operative time was 76 minutes for LA and 49 minutes for OA (P <0.001) while the average hospital stay was 3.14 days for LA and 2.15 days for OA (P = 0.08). The average cost of the two procedures was Omani riyals (OMR) 534 for LA and OMR 343 for OA (P = 0.00). The complication rate following procedures was lower in the case of LA, however this was not statistically significant (LA = 8% versus OA = 11.7 %, P = 0.32). Conclusion: LA are costlier procedures than OA, however they are as safe as OA, and do not increase morbidity or the duration of hospital stay. Keywords

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A prospective study of safety and satisfaction with same-day discharge after laparoscopic appendectomy for acute appendicitis

Cited by 88 publications

References 16 publications

Systematic review and meta-analysis of single-incision versus conventional laparoscopic appendectomy in children

Systematic review and meta-analysis of single-incision versus conventional laparoscopic appendectomy in children

Variability in same-day discharge for pediatric appendicitis

Cost Comparison between Laparoscopic and Open Appendectomies in Children = مقارنة بين تكلفة عمليات إستئصال الزائدة عن طريق فتح البطن و المناظير عند الأطفال

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