Laparoscopic versus open appendectomy for acute appendicitis: a metaanalysis

Wei, Bo; Qi, Cui-Lling; Chen, Tufeng; Zheng, Zongheng; Huang, Jian; Hu, Baoguang; H, Wei

doi:10.1007/s00464-010-1344-z

Cited by 198 publications

(185 citation statements)

References 42 publications

(13 reference statements)

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“…17 In our experience, the length of the hospital stay was about 2.5 day shorter in the LA group than in the OA group (p value 0.011). This result is comparable to the metanalysis by Wei et al 18 However, in a study conducted by Merhoff AM et al recorded average hospital stay was almost similar in both the groups i.e. 2(1-6) days for open and 2(1-6) days for laparoscopy.…”

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confidence: 86%

Is the laparoscopic approach superior to open approach for treatment of acute appendicitis? A hospital based experience

2017

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Background: Laparoscopic appendicetomy remains controversial in Indian perspective. The objective was to compare the clinical outcome of open with laparoscopic appendicectomy.Methods: Prospectively collected data from 150 consecutive patients with acute appendicitis was studied. Patients undergoing surgery for acute appendicitis were alternately assigned into one of the two groups (Group-A patients underwent open appendicectomy and in Group B laparoscopic appendicectomy). The two groups were compared with respect to operative time, length of hospital stay, postoperative pain & wound complications.Results: The mean operative time in the open group was 84.40 minutes; for laparoscopic group, 95.20 minutes (p-0.001). Duration of paralytic ileus, tolerance to oral feeds, resumption of daily routine activity and ambulation of patients were started earlier in laparoscopic group than open group. Group A (OA) patients had pain at the mean of 2.66 days as compared group B (LA), in which patients had pain at the mean of 1.66 days. Study also showed that the hospital stay for laparoscopic group was almost half of that for open group. Laparoscopic appendicectomy was safe as compared to open surgery in context to post-operative complications.Conclusions: Provided surgical experience and equipment are available, Laparoscopic appendicectomy is as safe and efficient than open appendicectomy.

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confidence: 86%

Is the laparoscopic approach superior to open approach for treatment of acute appendicitis? A hospital based experience

2017

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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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“…[13] Minimal trauma to abdominal wall during trocar placement and minimal manipulation of intestine causes less pain and encourages faster recovery. [14] The secondary finding of the present study was that mean duration of hospital stay of laparoscopic appendectomy patients was found to be statistically significantly shorter.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the open and laparoscopic appendectomy operations with respect to their effect on serum IL-6 levels

Bartın

Kemik

Çaparlar

et al. 2016

Ulus Travma Acil Cerrahi Derg

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Laparoscopic versus open appendectomy for acute appendicitis: a metaanalysis

Abstract: Despite the longer operative time, LA results in less postoperative pain, faster postoperative rehabilitation, a shorter hospital stay, and fewer postoperative complications than OA. Therefore, LA is worth recommending as an effective and safe procedure for acute appendicitis.

Cited by 198 publications

References 42 publications

Is the laparoscopic approach superior to open approach for treatment of acute appendicitis? A hospital based experience

Is the laparoscopic approach superior to open approach for treatment of acute appendicitis? A hospital based experience

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

Evaluation of the open and laparoscopic appendectomy operations with respect to their effect on serum IL-6 levels

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