Laparoscopic Appendectomy in Italy: An Appraisal of 26,863 Cases

Agresta, Ferdinando; Simone, Paolo De; Leone, Leonardo; Arezzo, Alberto; Biondi, Antonio; Bottero, Luca; Catena, Fausto; Conzo, Giovanni; Genio, Gianmattia del; Fersini, Alberto; Guerrieri, Mario; Illomei, G; Tonelli, P; Vitellaro, Marco; Docimo, Giovanni

doi:10.1089/109264204322862270

Cited by 33 publications

(29 citation statements)

References 11 publications

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“…Several studies [4, 10, 13, 16, 18, 32–34] have shown that laparoscopic appendectomy is safe and results in a faster return to normal activities with fewer wound complications. These findings have been challenged by other authors who observed no significant difference in the outcome between the two procedures, and moreover noted higher costs with laparoscopic appendectomy [3, 19, 20, 33, 35]. Anyway, a recent systematic review of meta-analyses of randomised controlled trials comparing laparoscopic versus open appendectomy concluded that both procedures are safe and effective for the treatment of acute appendicitis [36].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic versus open appendectomy: a retrospective cohort study assessing outcomes and cost-effectiveness

et al. 2016

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BackgroundAppendectomy is the most common surgical procedure performed in emergency surgery. Because of lack of consensus about the most appropriate technique, appendectomy is still being performed by both open (OA) and laparoscopic (LA) methods. In this retrospective analysis, we aimed to compare the laparoscopic approach and the conventional technique in the treatment of acute appendicitis.MethodsRetrospectively collected data from 593 consecutive patients with acute appendicitis were studied. These comprised 310 patients who underwent conventional appendectomy and 283 patients treated laparoscopically. The two groups were compared for operative time, length of hospital stay, postoperative pain, complication rate, return to normal activity and cost.ResultsLaparoscopic appendectomy was associated with a shorter hospital stay (2.7 ± 2.5 days in LA and 1.4 ± 0.6 days in OA), with a less need for analgesia and with a faster return to daily activities (11.5 ± 3.1 days in LA and 16.1 ± 3.3 in OA). Operative time was significantly shorter in the open group (31.36 ± 11.13 min in OA and 54.9 ± 14.2 in LA). Total number of complications was less in the LA group with a significantly lower incidence of wound infection (1.4 % vs 10.6 %, P <0.001). The total cost of treatment was higher by 150 € in the laparoscopic group.ConclusionThe laparoscopic approach is a safe and efficient operative procedure in appendectomy and it provides clinically beneficial advantages over open method (including shorter hospital stay, decreased need for postoperative analgesia, early food tolerance, earlier return to work, lower rate of wound infection) against only marginally higher hospital costs.Trial registrationNCT02867072 Registered 10 August 2016. Retrospectively registered.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic versus open appendectomy: a retrospective cohort study assessing outcomes and cost-effectiveness

et al. 2016

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“…The conventional management by the open technique has been the treatment for decades. Minimally invasive surgery, especially laparoscopic appendectomy in infancy and childhood has proved itself a reliable and effective method [1][2][3][4][5][6]. Since 1999, we have performed 172 laparoscopic appendectomies in children, with 6 conversions (3.5%) and 11 complications (6.3%).…”

Section: Introductionmentioning

confidence: 99%

Laparoskopisch assistierte Appendektomie

2006

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Zusammenfassung. Grundlagen: Die akute Appendizitis ist die häufigste kinderchirurgische Indikation.Methodik: Fallbericht über die erste Einzel-TrokarLaparoskopie-assistierte extrakorporale Appendektomie in Kroatien.Ergebnisse: Bei dieser Technik wird der Appendix über den Arbeitsport herausgezogen und die Resektion vor der Bauchdecke durchgeführt. Analog zu publizierten Daten ist unsere Erfahrung mit der Technik sehr gut, auch mit gutem kosmetischem Ergebnis.Schlussfolgerungen: Die Erfahrung mit der neuen minimal invasiven Technik steht im Einklang mit publizierten Daten.Schlüsselwörter: Akute Appendizitis, Laparoskopie assistierte extrakorporale Appendektomie.Summary. Background: Acute appendicitis is probably the most common problem in pediatric surgery.Methods: Report on first case of single port laparoscopically assisted extracorporeal appendectomy in Croatia.Results: In this technique, the appendix is delivered to the surface through the working port, and appendectomy is carried out extracorporeally. In keeping with recent publications, our experience is encouraging. Superior cosmetic result and lower operative stress are advantages compared to open surgery; shorter procedure and reduced cost are advantages compared to conventional laparoscopic procedure.Conclusions: Experience with single port laparoscopically assisted extracorporeal appendectomy is in keeping with published data.

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“…Many authors foresees Laparoscopic surgery as a reliable future tool for intraabdominal surgical pathologies in order to provide less invasiveness with maximum comfort and outcomes 6,7 . Several studies [8][9][10][11][12][13][14][15] have shown that laparoscopic appendectomy is safe with faster recovery and least wound complication.…”

Section: Discussionmentioning

confidence: 99%