ReviewJournal of minimal access surgery2014
Laparoscopic versus open appendectomy in obese patients: A meta-analysis of prospective and retrospective studies.
Review in Journal of minimal access surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 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.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Bariatric surgery and the COVID-19 pandemic: SICOB recommendations on how to perform surgery during the outbreak and when to resume the activities in phase 2 of lockdown.Updates in surgery · 2020Guideline
- Methodological overview of systematic reviews to establish the evidence base for emergency general surgery.The British journal of surgery · 2017Pooled it
- Impact of obesity on 30-day outcomes after laparoscopic colectomy.Surgical endoscopy · 2026Article
- Hidden Appendicoliths and Their Impact on the Severity and Treatment of Acute Appendicitis.Journal of clinical medicine · 2024Article
- Benefits of laparoscopic liver resection for liver tumors in obese patients: a meta-analysis.Frontiers in oncology · 2024Review
- The Impact of Obesity on Perioperative Outcomes for Children Undergoing Appendectomy for Acute Appendicitis: A Systematic Review.Journal of clinical medicine · 2023Review
- Peri- and postoperative outcomes of laparoscopic adrenalectomy in nonobese versus obese patients: a systematic review and meta-analysis.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2022Review
- [Recommendations on treatment of acute appendicitis : Recommendations of an expert group based on the current literature].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020Review
- [Appendectomy: open versus laparoscopic versus single port : Evidence for choice of surgical procedure].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2019Review
- WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis.World journal of emergency surgery : WJES · 2016Review
- Single-incision versus multiport laparoscopic appendectomy: a case-matched comparative analysis.Surgical endoscopy · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA meta-analysis of different kinds of studies was performed to assess outcomes of laparoscopic versus open appendectomy in obese patients. MATERIALS AND
methodsRetrospective and prospective studies enrolling patients with a body mass index greater than 30 kg/m(2) were included. Primary outcomes were days of hospital stay, surgical procedure duration, and overall post-operative complication rate. Secondary outcomes were wound infection and intra-abdominal abscesses formation rate, hospital charges.
resultsLaparoscopic appendectomy showed to be significantly associated with lower wound infection (P < 0.001) and post-operative complication rate (P < 0.001). Surgical time was considered as a hallmark of technical challenge and resulted diminished in the laparoscopic group (P = 0.018). Although not clinically relevant per se, the statistically significant shorter hospital stay (P < 0.001) was probably the reason of decreased hospital charges (P < 0.001). Intra-abdominal abscesses formation rate was higher in the open appendectomy group (P = 0.058), although slightly above the statistical significance threshold.
conclusionLaparoscopic approach seemed to show relevant advantages compared to open appendectomy, but a large prospective trial is necessary to collect high quality data and investigate long-term outcomes.
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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.