Laparoscopic versus open appendectomy for the obese patient: a subset analysis from a prospective, randomized, double-blind study

Abstract

In this study, laparoscopic appendectomy did not show a benefit over the open approach for obese patients with appendicitis.

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

“…Similar results with regard to surgical and cosmetic outcomes and low cost are the important issues favoring open appendectomy (OA) [42]. Several retrospective and prospective studies have suggested that laparoscopic appendectomy can decrease postoperative complications and wound infections, intra-abdominal abscesses are slightly increase after laparoscopy [10,12,39].…”

Laparoscopic appendicectomy in obese is associated with improvements in clinical outcome: Systematic review

“…Authors discussed this variation from the inclusion criteria and decided to include the study as the number of patients less than 12 years unlikely to influence the overall outcomes of the meta-analysis in a significant manner. Sex distribution is described in five of the eight included studies [14,16,18,20,22] and the overall male to female ratio was similar (Table 1). Data from the retrospective studies varied from 1 year to 9-year period among the studies ( Table 1).…”

“…Thirteen articles were scrutinized, of which, eight studies met the inclusion criteria. Seven of these were retrospective cohort studies [14e17,20e22], one was a prospective randomized controlled trial [18] (Fig. 1).…”

“…However, these studies included patients who are overweight [11,12] as well as studies evaluating the outcomes in paediatric population [13]. Moreover, there are additional large comparative studies [14e17] and an RCT [18] published since the previous meta-analyses [9,10], which suggest the requirement for further meta-analysis. The current systematic review and meta-analysis is performed to compare the difference in the outcomes of laparoscopic and open surgery in obese patients undergoing appendicectomy.…”

Laparoscopic Appendectomy

“…In a more recent comparative study no significant differences in terms of complications were found between the two groups (Clarke et al, 2011). We did not perform a separate analysis on overweight patients.…”