Laparoscopic Appendectomy: A Viable Alternative Approach

Nazzal, Mustafa; Ali, Muhammad; Turfah, Fuad; Kaidi, Ashton; Saba, Amer; Pleatman, Mark; Silva, Yvan

doi:10.1089/lap.1997.7.1

Cited by 16 publications

(13 citation statements)

References 8 publications

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“…This may be due to a single small incision of 10 mm and muscle spitting technique which were used for trocar placement. Postoperative hospital stay was 1.4 ± 1.2 days, which was lower than that associated with conventional LA or open appendectomy, as has been shown in other studies [10,11]. There was no remarkable complication.…”

Section: Methodssupporting

confidence: 56%

Single Incision Laparoscopic Assisted Appendectomy: Experience of 82 Cases

Kumar¹,

Sinha²,

Deepak

et al. 2016

JCDR

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Introduction: Single Incision Laparoscopic Surgery (SILS) is one of the most recent developments which have been made in the field of minimal assesses surgery. It has potential advantages of less postoperative pain and better cosmesis, but at the same time, this procedure is time consuming and it increases the cost of surgery. Aim:In this study, we evaluated the feasibility, safety and potential advantages of single incision laparoscopic assisted appendectomy. Materials and Methods:Single incision laparoscopic assisted appendectomy was done in 82 patients who were diagnosed with acute or chronic appendicitis. A single 10mm incision made over right lower quadrant was used for placing two 5mm trocars and appendisectomy was done as in open surgery, after delivering out the appendix from the incision.Results: Mean operative time was 32.56 ± 15.5 minutes. Mean post-operative pain scores as per visual analogue scalewere 6.5, 4.2 and 1.2 on 12 hours day 1 and day 2 after surgery respectively. Mean length of hospital stay was 1.4 ± 1.2 days. Conclusion:Single incision laparoscopic appendectomy is safe and feasible.

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Section: Methodssupporting

confidence: 56%

Single Incision Laparoscopic Assisted Appendectomy: Experience of 82 Cases

Kumar¹,

Sinha²,

Deepak

et al. 2016

JCDR

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“…In a nonrandomized trial of 122 patients Schirmer et al found no significant difference in hospital stay. 16 Some recent retrospective cohort studies [17][18][19] shows a significant shorter hospital stay after LA while other shows no significant differences in hospital stay .20, 21 CONCLUSION: This study identified the value of the laparoscopic technique for appendectomy in a non-specialist center. This benefits the patients with its low morbidity, shorter hospital stay, minimal operating time and quicker recovery.…”

Section: Discussionmentioning

confidence: 78%

Laparoscopic Versus Open Appendectomy: Retrospective Comparison in Rural Urban Settings

Nigam¹,

Devpura²,

Nigam³

et al. 2014

jemds

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OBJECTIVE:This retrospective comparative study was undertaken from data of various peripheral centers of Kanpur and around, to assess the impact of Laparoscopic Appendectomy on the patients care where prior to it, conventional open appendectomy (OA) was in vogue. PATIENTS AND METHODS: This retrospective study was done on the patients who were operated by different surgeons in different peripheral hospitals for appendectomy during period of 36 months (from Dec 2010 to Nov 2013).Total data of 360 patients collected out of which the number in each group of patients who underwent laparoscopic appendectomy and patients who had open procedure kept same i.e. 180. Each patient's data was selected in a non-randomized fashion. Both groups were studied for length of hospital stay, operating time, complications and conversion rate and cost involved (consumables only). RESULTS: Analysis of both groups within same interim period showed same age/sex distribution and diagnosis was made mainly on clinical grounds supported by hematological and ultra-sonology tests. Within the laparoscopic group, average length of stay was 3.14 (2-4) days, compared with 4.19 (2-7) days of open appendectomy. Operating time for laparoscopic group was 1.02 (1-1.5) hours with only six conversion into Lanz incisions. In the open group the operating time was 51.5 min (30-90min) and there were 40 laparotomies due to uncertain diagnosis, in three cases due to extensive adhesions appendectomy could not be performed. 28 of these cases also required adjunctive imaging for diagnostic purposes. CONCLUSIONS: This study identified the value of the laparoscopic technique for appendectomy in a non-specialist center. This benefits the patients with low morbidity, shorter hospital stay, minimal operating time and quicker recovery. Cost factors and expertize available however refrain these peripheral hospitals to adopt laparoscopic appendectomy as routine procedures. But these results show that practice of LA also inspired the practitioners of low experience to take on this procedure with confidence and maintain their laparoscopic skills which potentially could be utilized for other related laparoscopic operations.

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“…[12][13][14][15][16] Some recent retrospective cohort studies, meta-analysis studies and other retrospective investigation have reported lesser hospital stay. [11][12][13][17][18][19] There have been many other similar studies, who have reported no significant difference between laparoscopic and open surgeries. [20][21][22][23][24][25] Present study showed a significant reduction in the number of hospital days, with the mean in laparoscopic group being 2.2 days and among the open group the mean was 3.1 days.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the complications between laparoscopic and open appendectomy: a study in a teaching hospital in Telangana, India

Kumar

Lekkala

2016

Int Surg J

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INTRODUCTIONOpen appendectomy has been a safe and effective operation for acute appendicitis for over a century. It is one of the most frequently performed abdominal operation. It is estimated that approximately 7% of the population develop appendicitis in their life time. 1Laparoscopic surgery for appendectomy was first introduced in 1983 by Semm, but since then, it has struggled to prove its superiority over open appendectomy, while its counterpart, laparoscopic cholecystectomy has become a gold standard technique for gall stone disease. 2,3 Open appendectomy has withstood the test of time for more than a century, since its introduction by McBurney. 4 This procedure is standardized among the surgeons and is completed using a small right lower quadrant incision unlike the open cholecystectomy. The number of post-operative Results:The mean operating time in the laparoscopic group was 68 minutes while in the open group it was 55 minutes. The number of analgesic doses given to the patients was 2.4 in the laparoscopic group and 3.6 in the open group. The intake of the oral foods was also faster after the laparoscopy than after open surgery while the hospital stay was lesser. Post-operative complications observed in the laparoscopic surgery patients were diarrhea in 2 patients, one case of urinary tract infection, post-operative bleeding, surgical site infections and intra-abdominal abscess. Among the open group patients, 4 patients had surgical site infection and 3 had diarrhea. 2 patietns had intraabdominal abscess and intraoperative bleeding. Conclusions: Laparoscopic appendectomy is an effective and safe procedure which can be performed on any kind of patient regardless of the age, sex and BMI.

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Laparoscopic Appendectomy: A Viable Alternative Approach

Cited by 16 publications

References 8 publications

Single Incision Laparoscopic Assisted Appendectomy: Experience of 82 Cases

Single Incision Laparoscopic Assisted Appendectomy: Experience of 82 Cases

Laparoscopic Versus Open Appendectomy: Retrospective Comparison in Rural Urban Settings

Comparison of the complications between laparoscopic and open appendectomy: a study in a teaching hospital in Telangana, India

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