Trial reportSurgical endoscopy2011
Laparoscopic versus open appendectomy for the obese patient: a subset analysis from a prospective, randomized, double-blind study.
Trial report in Surgical endoscopy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
26 citing papers in PubMed, 7 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Meta-analysis of the clinical efficacy of laparoscopic appendectomy in the treatment of acute appendicitis.World journal of emergency surgery : WJES · 2022Pooled it
- Acute Appendicitis in Childhood and Adulthood.Deutsches Arzteblatt international · 2020Pooled it
- Laparoscopic versus open surgery for suspected appendicitis.The Cochrane database of systematic reviews · 2018Pooled it
- Diagnosis and management of acute appendicitis. EAES consensus development conference 2015.Surgical endoscopy · 2016Guideline
- A Systematic Review of Patient-reported Outcomes in Randomized Controlled Trials of Unplanned General Surgery.World journal of surgery · 2016Pooled it
- Laparoscopy for the management of acute lower abdominal pain in women of childbearing age.The Cochrane database of systematic reviews · 2014Pooled it
- Meta-analysis of the results of randomized controlled trials that compared laparoscopic and open surgery for acute appendicitis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2012Pooled it
- Surgical Complications Following Appendectomy in Obese Patients: A Single Tertiary Care Center Study.Cureus · 2024Article
- The Impact of Obesity on Perioperative Outcomes for Children Undergoing Appendectomy for Acute Appendicitis: A Systematic Review.Journal of clinical medicine · 2023Review
- Outcome and quality of life in obese patients underwent laparoscopic vs. open appendectomy.BMC surgery · 2022Article
- Advances and Trends in Pediatric Minimally Invasive Surgery.Journal of clinical medicine · 2020Review
- Appendectomy in Patients with Morbid Obesity: Laparoscopic versus Conventional Technique.Medical science monitor : international medical journal of experimental and clinical research · 2020Article
- Obesity and appendicitis: Laparoscopy versus open technique.Turkish journal of surgery · 2020Article
- [Appendectomy: open versus laparoscopic versus single port : Evidence for choice of surgical procedure].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2019Review
- Bayesian network meta-analysis of the effects of single-incision laparoscopic surgery, conventional laparoscopic appendectomy and open appendectomy for the treatment of acute appendicitis.Experimental and therapeutic medicine · 2017Article
- Laparoscopic versus open appendectomy in adults and children: A meta-analysis of randomized controlled trials.United European gastroenterology journal · 2017Article
- The influence of underweight and obesity on the diagnosis and treatment of appendicitis in children.International journal of colorectal disease · 2016Article
- Outcome of Laparoscopic Adrenalectomy in Obese Patients.Maedica · 2015Article
- Investigating the collection and assessment of patient-reported outcome data amongst unplanned surgical hospital admissions: a feasibility study.Pilot and feasibility studies · 2015Article
- Acute appendicitis: position paper, WSES, 2013.World journal of emergency surgery : WJES · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe clinical outcomes for patients randomized to either open or laparoscopic appendectomy are comparable. However, it is not known whether this is true in the subset of the adult population with higher body mass indexes (BMIs). This study aimed to compare the outcomes of open versus laparoscopic appendectomy in the obese population.
methodsA subgroup analysis of a randomized, prospective, double-blind study was conducted at a county academic medical center. Of the 217 randomized patients, 37 had a BMI of 30 kg/m(2) or higher. Open surgery was performed for 14 and laparoscopic surgery for 23 of these patients. The primary outcome measures were the postoperative complication rates. The secondary outcomes were operative time, length of hospital stay, time to resumption of diet, narcotic requirements, and Medical Outcomes Survey Short Form 36 (SF-36) quality-of-life data.
resultsNo differences in complications between the open and laparoscopic groups were found. Also, no significant differences were seen in any of the secondary outcomes except for a longer operative time among the obese patients.
conclusionsIn this study, laparoscopic appendectomy did not show a benefit over the open approach for obese patients with appendicitis.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.