A Quality of Life Comparison of Laparoscopic and Open Approaches in Acute Appendicitis: A Randomised Prospective Study

Kaplan, Marshal B.; Salman, Bülent; Yılmaz, Tonguç Utku; Oğuz, Mehmet

doi:10.1080/00015458.2009.11680439

Cited by 41 publications

(34 citation statements)

References 23 publications

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“…It is also gaining popularity because of shorter operative time, less postoperative pain, and lesser incidence of surgical site infection [8][9][10][11][12][13][14]. Its only drawback is slightly higher rate of intra-abdominal abscess [15][16][17][18].…”

Section: Discussionmentioning

confidence: 99%

Conventional Laparoscopic Appendicectomy and Laparoscope-Assisted Appendicectomy: a Comparative Study

Baid

Kar

De³

et al. 2013

Indian J Surg

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Laparoscopic procedures for removal of the appendix by the three-port technique as an alternative to conventional appendicectomy have gained wide popularity, but they have been criticized for technical difficulty, more time consumption, and high cost. We have compared conventional three-port laparoscopic appendicectomy (LA) and laparoscope-assisted appendicectomy (LAA). In period from August 2010 to January 2012, 77 patients underwent appendicectomy by a minimally invasive procedure (39 LA and 38 LAA), at Medical College and Hospital, Kolkata. All the 39 cases of LA were completed successfully, but of the 38 cases, LAA could be completed only in 32 cases. Of the six cases where LAA could not be completed, five were converted to LA [three because of excessive body mass index (BMI) and two because of bleeding]. One case had to be converted to open appendicectomy because of excessive bleeding. In LA, the mean duration of surgery was less than that in LAA (18.18 versus 24.39 min). Wound infections were more common in LAA compared to LA (six versus two). Severe postoperative pain was present in eight cases in LAA compared to two in LA. On day 2, 79.487 % patients undergoing LA were discharged compared to 28.947 % in LAA. LA is better as a minimally invasive procedure. LAA can only be done in patients with lower BMI, is more time consuming, has more complications, more incidence of postoperative pain, wound infections, and longer hospital stay.

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Section: Discussionmentioning

confidence: 99%

Conventional Laparoscopic Appendicectomy and Laparoscope-Assisted Appendicectomy: a Comparative Study

Baid

Kar

De³

et al. 2013

Indian J Surg

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show abstract

“…However, several randomized controlled trials comparing laparoscopic with open appendectomy have provided conflicting results [9,10]. Previous studies have demonstrated better clinical short-term outcomes with the laparoscopic approach [11][12][13], while other studies have shown marginal or no short-term clinical benefits [14][15][16]. Bearing in mind that laparoscopic appendectomy, unlike other laparoscopic procedures, has not been found superior to open surgery for acute appendicitis [17].…”

Section: Introductionmentioning

confidence: 96%

“…After eliminating duplicate articles, we evaluated the titles and abstracts of these studies according to the inclusion and exclusion criteria, after which 61 articles remained. After the full texts of these articles were read and the ineligible studies were excluded, 29 randomized controlled trials involving 2134 laparoscopic appendectomy (LA), in addition to 2177 open appendectomy (OA) [10][11][12][13][14][15]. The characteristics of these studies are listed in the Table 1.…”

Section: Study Characteristicsmentioning

confidence: 99%

Comparison of Short-Term Outcome between Laparoscopic and Open Appendectomy in Adults: A Meta-Analysis of Randomized Controlled Trials

Zhang¹,

Gao²,

Wei³

2017

Diagn Pathol Open

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Objective: Despite many randomized controlled trials, it is still not clear whether open appendectomy or laparoscopic appendectomy is the most appropriate surgical approach to acute appendicitis. It is also widely recognized that laparoscopic removal of appendectomy is a well-established procedure with good outcomes. The aim of this study was to evaluate the short-term results of open appendectomy versus laparoscopic appendectomy in adults. Methods:We undertook a meta-analysis of randomized controlled trials comparing open appendectomy and laparoscopic appendectomy in adults. We searched the PubMed, EMBASE, and Cochrane Library databases up to June 20, 2017. Calculations were made of the effect sizes of short-term outcomes: wound infection, intra-abdominal abscess, postoperative complications, peritonitis, postoperative ileus, urinary tract infection, and reoperation, the effect sizes were then pooled by a fixed or random-effects model. Results:Twenty-nine randomized controlled trials with 4311 participants were included. Meta-analysis of the available literature demonstrated that laparoscopic appendectomy in adults was associated with lower incidence of wound infection (OR=0.54, 95% CI: 0.42-0.70, P<0.00001), and fewer postoperative complications (OR=0.77, 95% CI: 0.66-0.90, P= 0.001). Further analysis did not reveal significant differences between the two surgery approaches in intra-abdominal abscess, peritonitis, postoperative ileus, urinary tract infection, and reoperation in adults. Conclusion:Laparoscopic appendectomy reduces wound infections and postoperative complications in the treatment of adult acute appendicitis. Laparoscopic appendectomy is worth recommending as an effective and safe procedure for acute appendicitis in adults.

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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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A Quality of Life Comparison of Laparoscopic and Open Approaches in Acute Appendicitis: A Randomised Prospective Study

Abstract: Laparoscopic appendectomy is a safe method, which also has advantages of diagnostic procedure for other pathologies, a better quality of life both in the early and late period, and a short hospital stay. The important advantage is also seen in the late period with better quality of life.

Cited by 41 publications

References 23 publications

Conventional Laparoscopic Appendicectomy and Laparoscope-Assisted Appendicectomy: a Comparative Study

Conventional Laparoscopic Appendicectomy and Laparoscope-Assisted Appendicectomy: a Comparative Study

Comparison of Short-Term Outcome between Laparoscopic and Open Appendectomy in Adults: A Meta-Analysis of Randomized Controlled Trials

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

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