Is Laparoscopic Appendectomy an Effective Procedure ?

Abstract

LA is an effective procedure with a reduced risk of developing wound infection. The laparoscopic approach is particularly effective for overweight patients and/or patients with ectopic appendices as far as shortening the operative time and hospital stay is concerned.

Laparoscopic appendectomy by residents: evaluating outcomes and learning curve

“…It is a minimally invasive procedure associated with better postoperative pain control [1], faster recovery [2], shorter hospitalization [3], and lower incidence of wound infection [4] when compared with open surgery. It has both diagnostic and therapeutic advantages compared with open appendectomy, especially in fertile women [6].…”

“…Laparoscopic appendectomy is associated with less postoperative pain [1], faster recovery [2], shorter length of hospital stay [3], and lower risk of wound infection [4] when compared with open appendectomy. The small scars result in a better aesthetic result [5].…”

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

“…There were 31 male and 19 female in the OA and 33 male and 17 female patients in the LA group (p > 0.05). The mean BMI's were 26.2 ± 2.1 (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32) for the OA group and 25.8 ± 1.9 (19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33) for the LA group. There was no significant difference between In 74 (89%) of the 83 patients undergoing appendectomy, the macroscopic appearance of the appendix was considered as acute appendicitis while in 9 (11%) it was not.…”

“…The advantages of DL and laparoscopic appendectomy include : (i) the avoidance of unnecessary laparotomy (19), (ii) improved surgical decision-making : "look and see" rather than "wait and see" (20,21), (iii) improved diagnostic accuracy, reduced unnecessary appendectomy and decreased risk of appendiceal perforation (4,(22)(23)(24), (iv) inspection of all abdominal organs and the avoidance of a large laparatomy incision, especially in obese individuals (25,26) (v) reduced postoperative pain, shorter hospital stay, faster return to unrestricted daily activity, decreased wound infection rate, and a better cosmetic result (18).…”

Environmental Impact of Minimally Invasive Surgery in the United States: An Estimate of the Carbon Dioxide Footprint

“…15 Average operative times for each procedure were estimated using data from our institution, and we supplemented procedure data not currently performed at our institution with average procedure times from published series. [16][17][18][19][20][21] The number of cylinders and CO 2 emissions were calculated from these data.…”