ArticleInternational journal of biomedical science : IJBS2014
Is laparoscopic appendectomy safe when performed in a low volume setting?
Article in International journal of biomedical science : IJBS, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 6 citations in OpenAlex.
- Learning curve of single-port laparoscopic appendectomy in a low-volume hospital.Frontiers in surgery · 2025Article
- Laparoscopic appendicectomy without the use of disposable materials - a low-cost alternative - 1,552 cases operated in 20 years.Revista do Colegio Brasileiro de Cirurgioes · 2022Article
- Single Incision Laparoscopic Surgery: Feasibility of the Direct Fascial Puncture Technique Without Working Trocars.Cureus · 2020Article
- Factors Associated With Small Bowel Obstruction Following Appendectomy: A Population-Based Study.Medicine · 2016Article
- Impact of a medical university on laparoscopic surgery in a service-oriented public hospital in the Caribbean.Risk management and healthcare policy · 2016Article
- Advancement of laparoscopic surgery in Guyana: a working model for developing countries.Advances in medical education and practice · 2016Article
- Three port laparoscopic appendectomy technique with low cost and aesthetic advantage.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2014Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSimilar to global trends, laparoscopic appendectomy has gained favor across the Caribbean but there is a paucity of published data evaluating its outcomes in the region. This study seeks to document the outcomes of laparoscopic appendectomies performed by community surgeons in a low volume setting in the Caribbean.
methodsData were recorded prospectively from all consecutive laparoscopic appendectomies performed from June 1, 2006 to May 30, 2011. Complicated appendicitis was considered present when the appendix was gangrenous, perforated, phlegmonous and/or associated with a peri-appendiceal abscess. Data were analyzed using SPSS version 19.
resultsAppendectomies were performed by one of three surgeons in 167 patients (mean case volume 11 cases per surgeon per year) at mean age of 31.8 ±9.67 years and mean BMI of 29.3 ± 2.59 Kg/m(2). There was a 14% negative appendectomy rate. Of 143 patients with confirmed appendicitis, 73% were uncomplicated cases and 24% were complicated appendicitis. The mean operating time was 50.1 ±18.4 minutes for uncomplicated cases and 98.8 ±21.6 minutes for complicated appendicitis. The overall morbidity rate was 4.2% (1.8% morbidity in uncomplicated cases and 14.7% for complicated appendicitis. Post-operatively, 69% patients required no supplemental parenteral opioids. After discharge, 7% patients required no oral analgesia and 90% stopped their analgesics within 48 hours.
conclusionsLaparoscopic appendectomy is a safe operation when performed by community surgeons at low volumes and should be considered as a part of the surgical armamentarium.
Indexed as
Identifiers
24711747PMC3976445W115009044What OpenQuestion holds
Registered trials
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