Laparoscopic versus open surgery for suspected appendicitis

Sauerland, Stefan; Lefering, Rolf; Neugebauer, EAM

doi:10.1002/14651858.cd001546

Cited by 270 publications

(444 citation statements)

References 85 publications

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“…This is similar to the rates mentioned in literature [7][8][9][10]. The rate was higher in women of reproductive age (32.8 % in this age group vs 18.9 % in the remainder of the population; P=0.023), as reflected in other studies [8].…”

Section: Discussionsupporting

confidence: 91%

Impact of the Increased Use of Preoperative Imaging and Laparoscopy on Appendicectomy Outcomes

et al. 2013

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The diagnosis of appendicitis is based on clinical picture. The aim of this retrospective study was to analyse variation of outcomes and impact of increasing use of radiological investigations and laparoscopy over a 5-year period. A retrospective audit of appendicectomies over the last 5 years (01 January 2007-31 December 2011) was conducted. The negative appendicectomy rate (NAR), perforation rate and complication rate were used as outcome endpoints. A statistical analysis was performed to evaluate the difference in outcomes with surgical approach and use of radiology. One thousand fifty-five appendicectomies were performed in this period. The NAR was 22.65 % (21 % for open and 28 % for laparoscopic) and perforation rate was 14 %. There was no statistically significant difference in NAR with the use of ultrasound (P 0.3814) but there was a significant reduction in NAR with the use of computed tomography (CT) (P <0.0001). Intra-abdominal abscess (2.3 %) and wound infection (1.4 %) were the common complications with the former being higher with laparoscopy and the latter with open appendicectomy. Over 5 years, there were no significant changes in appendicectomy outcomes. The impact of diagnostic imaging on NAR varies with age, gender and the use of CT. CT can significantly reduce the negative appendicectomy rate in equivocal presentations. Complication rates vary with surgical approach.

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Section: Discussionsupporting

confidence: 91%

Impact of the Increased Use of Preoperative Imaging and Laparoscopy on Appendicectomy Outcomes

et al. 2013

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“…The lifetime cumulative incidence of appendicitis is 7-9 per cent 1 , reaching a peak during the first and second decades of life 2 . Although laparoscopic appendicectomy is a reliable alternative treatment 3 , open appendicectomy remains the standard procedure for acute appendicitis.…”

Section: Introductionmentioning

confidence: 99%

Impact of body mass index and tobacco smoking on outcome after open appendicectomy

Sadr–Azodi

Lindström

Adami

et al. 2008

British Journal of Surgery

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Background: The effect of body mass index (BMI) and smoking on the risk of perforated appendix and postoperative complications in patients undergoing open appendicectomy for acute appendicitis was studied. Results: After adjustment for age, calendar period and BMI, smoking was significantly associated with an increased risk of perforated appendicitis (PA) (P = 0·004). The relative risk was 1·29 (95 per cent confidence interval 1·11 to 1·50) among current smokers with more than 10 pack-years of tobacco use. In patients with non-perforated appendicitis (NPA), the relative risk of overall postoperative complications was significantly associated with BMI (P < 0·001), and was 2·60 (1·71 to 3·95) in obese patients and 1·51 (1·03 to 2·22) in current smokers with more than 10 pack-years of tobacco use. In patients with PA, overweight, obesity and smoking status were not associated with an increased risk of overall postoperative complications.Conclusion: Perforation due to acute appendicitis was associated with current tobacco smoking. A BMI of 27·5 kg/m 2 or more and current smoking were associated with overall postoperative complications in patients with NPA.

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“…[14] Also in about 50% of patients managed conservatively, the appendix is totally destroyed or atrophied (fibrosis) with obliterated lumen of the appendix so no risk of recurrent acute attack and nothing else needed to have been done in those patients. Many studies suggested that Laparoscopic appendicectomy decreases the rate of superficial surgical site infection and length of stay and provides earlier enteral feeding, with better cosmetic results both in non complicated appendicitis, and complicated appendicitis.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic appendectomy in acute appendicitis with or without complication

Ansari¹,

Gedam²,

Shah³

et al. 2015

Int J of Biomed & Adv Res

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Laparoscopic appendectomy has the advantage of providing better access and good visualization of the peritoneal cavity through small incisions, as compared to open appendectomy. we evaluated the safety, outcome and feasibility of laparoscopic appendicectomy in patients presenting with or withput complications. we observed Appendicular lump was predominantly seen in male patients presenting after 48 hours of acute onset of abdominal pain with associated history of leukocytosis and fever.Laparoscopic appendectomy may potentially have more prominent clinical advantages over conventional surgery, when compared with the impact of LA on uncomplicated appendicitis.

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Laparoscopic versus open surgery for suspected appendicitis

Cited by 270 publications

References 85 publications

Impact of the Increased Use of Preoperative Imaging and Laparoscopy on Appendicectomy Outcomes

Impact of the Increased Use of Preoperative Imaging and Laparoscopy on Appendicectomy Outcomes

Impact of body mass index and tobacco smoking on outcome after open appendicectomy

Laparoscopic appendectomy in acute appendicitis with or without complication

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