ArticleSurgical endoscopy2017
Comparison of clinical outcome of laparoscopic versus open appendectomy for complicated appendicitis.
Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 93 citations in OpenAlex.
- Laparoscopic appendectomy versus antibiotic treatment for acute appendicitis-a systematic review.International journal of colorectal disease · 2021Pooled it
- Laparoscopic appendicectomy is superior to open surgery for complicated appendicitis.Surgical endoscopy · 2019Pooled it
- Laparoscopic versus open appendectomy for perforated appendicitis in adults: randomized clinical trial.Surgical endoscopy · 2020Trial
- Prospective validation of a therapeutic algorithm for postoperative intra-abdominal abscess after laparoscopic appendectomy.Surgical endoscopy · 2025Article
- Article
- The Outcome of Laparoscopic Versus Open Appendectomy in Childhood.Deutsches Arzteblatt international · 2024Article
- Accuracy of computed tomography in staging acute appendicitis and its impact on surgical outcome and strategy: a multi-center retrospective case-control study.La Radiologia medica · 2023Article
- Article
- Review
- Surgical Site Infection Following Single-Port Appendectomy: A Systematic Review of the Literature and Meta-Analysis.Frontiers in surgery · 2022Review
- Article
- Comparison of intra-abdominal abscess formation after laparoscopic and open appendectomy for complicated and uncomplicated appendicitis: a retrospective study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2021Article
- Needlescopic Appendectomy in Children and Adolescents Using 14-Gauge Needles: A New Era.Journal of laparoendoscopic & advanced surgical techniques. Part A · 2021Article
- Outcomes after appendectomy in children with acute appendicitis treated at a tertiary paediatric centre: results from a retrospective cohort study.Langenbeck's archives of surgery · 2021Article
- Risk factors for intra-abdominal abscess following laparoscopic appendectomy for acute appendicitis: a retrospective cohort study on 2076 patients.Updates in surgery · 2020Article
- Laparoscopic versus open approach for diffuse peritonitis from appendicitis ethiology: a subgroup analysis from the Physiological parameters for Prognosis in Abdominal Sepsis (PIPAS) study.Updates in surgery · 2020Article
- Appendiceal stump closure with polymeric clips is a reliable alternative to endostaplers.The Journal of international medical research · 2020Article
- Clinical benefit of oral lactulose for postoperative care of pateints with complicated appendicitis using propensity score matching analysis.BMC gastroenterology · 2019Article
- Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.Surgical endoscopy · 2018Observational
- Comparison of clinical outcome of laparoscopic versus open appendectomy, single center experience.Heliyon · 2018Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic appendectomy is now the treatment of choice in uncomplicated appendicitis. To date its importance in the treatment of complicated appendicitis is not clearly defined.
methodsFrom January 2005 to June 2013 a total of 1762 patients underwent appendectomy for the suspected diagnosis of appendicitis at our institution. Of these patients 1516 suffered from complicated appendicitis and were enrolled. In total 926 (61 %) underwent open appendectomy (OA) and 590 (39 %) underwent laparoscopic appendectomy (LA). The following parameters were retrospectively analyzed: age, sex, operative times, histology, length of hospital stay, 30-day morbidity focusing on occurrence of surgical site infections, intraabdominal abscess formation, postoperative ileus and appendiceal stump insufficiency, conversion rate, use of endoloops and endostapler.
resultsA statistically significant difference in operative time was observed between the laparoscopic and the open group (64.5 vs. 60 min; p = 0.002). Median length of hospitalization was significantly shorter in the laparoscopic group (p < 0.000). Surgical site infections occurred exclusively after OA (38 vs. 0 patients). Intraabdominal abscess formation occurred statistically significantly more often after LA (2 vs. 10 patients; p = 0.002). There were no statistical significances concerning the occurrence of postoperative ileus (p = 0.261) or appendiceal stump insufficiencies (p = 0.076).
conclusionsThe laparoscopic approach for complicated appendicitis is a safe and feasible procedure. Surgeons should be aware of a potentially higher incidence of intraabdominal abscess formation following LA. Use of endobags , inversion of the appendiceal stump and carefully conducted local irrigation of the abdomen in a supine position may reduce the incidence of abscess formation.
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