Trial reportWorld journal of surgery2007
Laparoscopic appendectomy: differences between male and female patients with suspected acute appendicitis.
Trial report in World journal of surgery, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 5 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Laparoscopic versus open surgery for suspected appendicitis.The Cochrane database of systematic reviews · 2018Pooled it
- Laparoscopy for the management of acute lower abdominal pain in women of childbearing age.The Cochrane database of systematic reviews · 2014Pooled it
- Laparoscopic versus open appendectomy for acute appendicitis: a metaanalysis.Surgical endoscopy · 2011Pooled it
- Early laparoscopy for the evaluation of nonspecific abdominal pain: a critical appraisal of the evidence.Surgical endoscopy · 2011Pooled it
- Laparoscopic versus conventional appendectomy--a meta-analysis of randomized controlled trials.BMC gastroenterology · 2010Pooled it
- Laparoscopic versus open appendectomy in men: a prospective randomized trial.Surgical endoscopy · 2010Trial
- Determinants of surgical approach to pediatric appendicitis in Brazil.Pediatric surgery international · 2025Article
- DIALAPP: a prospective validation of a new diagnostic algorithm for acute appendicitis.Langenbeck's archives of surgery · 2021Article
- Laparoscopic left lateral resection is the gold standard for benign liver lesions: a case-control study.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2014Article
- Laparoscopic appendectomy by residents: evaluating outcomes and learning curve.Surgical endoscopy · 2010Article
- [Open appendectomy. When do we still need it?].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2009Review
- Obesity should not influence the management of appendicitis.Surgical endoscopy · 2008Article
- Laparoscopic appendectomy in a Nigerian teaching hospital.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
- Laparoscopic appendectomy performed by residents and experienced surgeons.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe role of laparoscopy in the management of patients with suspected acute appendicitis remains controversial. It has been suggested that laparoscopy is useful mainly in young women of reproductive age because of the high incidence of wrong diagnosis in these patients.
methodsDifferent management protocols for patients with suspected acute appendicitis were prospectively used in male and female patients; women of reproductive age were treated laparoscopically, while men were randomised to open or laparoscopic appendectomy.
resultsFrom September 2002 to September 2005, 132 patients-54 women and 78 men-with suspected acute appendicitis were treated according to the protocol. The incidence of wrong diagnosis in female patients was high (26% and the conversion rate low (5.5%). In contrast, in the laparoscopic male subgroup, these rates showed a reverse relationship (5.2% and 18.5%, respectively). Morbidity did not differ between female and male patients or between the 2 arms of the male group. Laparoscopic appendectomy took longer to perform without affecting significantly the needs for postoperative analgesia, the duration of hospital stay and the time to return to normal activities when compared with open appendectomy in men.
conclusionLaparoscopic appendectomy is at least as safe as the open procedure in the male population, although it does not appear to offer any obvious advantage over the open procedure. The diagnostic advantage that laparoscopy offers to fertile women makes the procedure attractive for this population.
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