ArticleWorld journal of emergency surgery : WJES2018
Should ambulatory appendectomy become the standard treatment for acute appendicitis?
Article in World journal of emergency surgery : WJES, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07401407 (APENERAS), which is not on this map. Cited by 20 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.
APENERAS: A Prospective Multicenter Observational Study of RICA (ERAS) Pathway Adherence, Safety Outcomes, and Early Discharge Feasibility in Adults Undergoing Urgent Uncomplicated Appendectomy
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Same-day discharge after appendectomy for acute appendicitis: a systematic review and meta-analysis.International journal of colorectal disease · 2021Pooled it
- Ambulatory versus conventional laparoscopic appendectomy: a systematic review and meta-analysis.International journal of colorectal disease · 2019Pooled it
- Rapid recovery vs standard care in laparoscopic appendectomy: a prospective study on patient-reported outcomes.BMC surgery · 2026Observational
- Treatment pathways and outcomes for pediatric complex appendicitis patients presenting beyond 3 days: A retrospective cohort study.Langenbeck's archives of surgery · 2026Article
- Analysis of risk factors associated with the development and postoperative complications of complicated acute appendicitis in elderly patients.Frontiers in surgery · 2025Article
- SAME day amBulatory c (SAMBA): a multicenter, prospective, randomized clinical trial protocol.Trials · 2024Article
- Article
- A Study of Misconceptions About Appendicitis Among the Resident Population of the Aseer Region.Cureus · 2023Article
- Adherence to the Antibiotic Prophylaxis Guidelines for Appendectomy in Bahrain: An Observational Study.Cureus · 2023Article
- Evolving Trends in the Management of Acute Appendicitis During COVID-19 Waves: The ACIE Appy II Study.World journal of surgery · 2022Article
- Regional Anesthesia Techniques for Pain Management for Laparoscopic Surgery: a Review of the Current Literature.Current pain and headache reports · 2022Review
- Where Did All the Appendicitis Go? Impact of the COVID-19 Pandemic on Volume, Management, and Outcomes of Acute Appendicitis in a Nationwide, Multicenter Analysis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2021Article
- Quality Outcomes in Appendicitis Care: Identifying Opportunities to Improve Care.Life (Basel, Switzerland) · 2020Article
- Risk Factors for Readmission After Short-Hospital-Stay Laparoscopic Appendectomy.World journal of surgery · 2020Article
- Predictors risk factors for acute complex appendicitis pain in patients: Are there gender differences?Journal of family medicine and primary care · 2020Article
- Risk factors for serious morbidity, prolonged length of stay and hospital readmission after laparoscopic appendectomy - results from Pol-LA (Polish Laparoscopic Appendectomy) multicenter large cohort study.Scientific reports · 2019Article
- Challenging the myth of outpatient craniotomy for brain tumor in a Sub-Saharan African setting: A case series of two patients in Ibadan, Nigeria.Surgical neurology international · 2019Article
- Observational
- Are only a few hours adequate for hospitalisation following mini-incision open appendectomy in paediatric patients?African journal of paediatric surgery : AJPSObservational
- Is early appendectomy in adults diagnosed with acute appendicitis mandatory? A prospective study.World journal of emergency surgery : WJESArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Appendectomy is increasingly performed as a 'short stay' or 'ambulatory' procedure, yet there is no consensus for selection of patients with acute appendicitis for ambulatory surgery (AS). We aimed to compare characteristics and outcomes of complicated and uncomplicated appendectomies performed in ambulatory vs. conventional settings, and to determine factors associated with unexpected re-consultations and re-hospitalizations. Methods: The authors reviewed a consecutive series of 185 laparoscopic appendectomies. Whenever possible, patients were offered AS, defined as 'discharge on the same working day.' Multivariable regressions were performed to determine associations of unexpected re-consultations and re-hospitalizations with surgery type (ambulatory or conventional) and patient characteristics (age, gender, obesity, symptoms, appendicolith, perforations, appendix diameter, serologic results, American Society of Anesthesiologists score, and Saint-Antoine score). Results: From the initial cohort, 117 patients (63.2%) were eligible for AS, of which 8 had peri- or post-operative contraindications. Therefore, 109 patients (58.9%) were operated by AS, with median length of stay 8.5 h (range, 3.3-20.5). Ambulatory cases had a lower incidence of complications (11.9%) than conventional cases (25.0%) ( Conclusions: Ambulatory surgery could be considered as a standard procedure for both complicated and uncomplicated acute appendicitis. Appendicolith was found to be an independent risk factor for unexpected re-hospitalization and should therefore trigger closer monitoring.
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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.