ArticleInternational surgery
Identification of preoperative risk factors associated with the conversion of laparoscopic to open appendectomies.
Article in International surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Risk factors for conversion from laparoscopic appendectomy to open appendectomy: A retrospective analysis of single-center experience.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- Associations between Hospital Setting and Outcomes after Pediatric Appendectomy.Children (Basel, Switzerland) · 2023Article
- Determination of risk factors for conversion from laparoscopic to open appendectomy in patients with acute appendicitis.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023Article
- Risk Factors for Conversion from Laparoscopic to Open Appendectomy.Journal of clinical medicine · 2023Article
- Conversion rate and risk factors of conversion to open in laparoscopic appendicectomy.Annals of coloproctology · 2022Article
- Article
- Risk factors for additional port insertion in single-port laparoscopic appendectomy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019Article
- Preoperative high C-reactive protein level is associated with an increased likelihood for conversion from laparoscopic to open appendectomy in patients with acute appendicitis.Clinical and experimental gastroenterology · 2019Article
- Conversion from laparoscopic to open appendectomy: decreased risk at dedicated children's hospitals.Pediatric surgery international · 2018Article
- Laparoscopic Appendectomy: Risk Factors for Postoperative Intraabdominal Abscess.World journal of surgery · 2017Article
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Our goals were to (1) identify risk factors associated with conversion from laparoscopic to open appendectomies and (2) establish criteria that predict the possibility of conversion to an open technique. We did a retrospective chart review of all patients who underwent laparoscopic appendectomies during a 5-year period (2004-2008). Preoperative risk factors, intraoperative findings, and postoperative complications were compared. We found that of 763 patients who had undergone laparoscopic appendectomy, 44 patients were converted to open technique (conversion rate of 5.8%). For these 44 patients, the male to female ratio was 2 to 1, and the men were older (45 versus 37 years of age, P < 0.001). Conversion rates decreased with time (8.7% in 2004 versus 3.5% in 2008). Past surgical history was insignificant. However, a duration of symptoms of >5 days as well as a white blood cell count >20,000 were found to have a direct correlation. Incidence of postoperative complications did not increase in converted patients. The conversion rate is highest in male patients above 45 years of age, with over 5 days' duration of symptoms, leukocytosis >20,000, and ruptured appendicitis on computed tomography scan. The presence of 3 to 4 of these risk factors should lower the threshold for consideration of conversion to open appendectomy.
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