Observational studyEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020
A clinical comparison of laparoscopic versus open appendectomy for the treatment of complicated appendicitis: historical cohort study.
Observational study in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Meta-analysis of the clinical efficacy of laparoscopic appendectomy in the treatment of acute appendicitis.World journal of emergency surgery : WJES · 2022Pooled it
- A systematic review on the cost evaluation of two different laparoscopic surgical techniques among 996 appendectomies from a single center.Updates in surgery · 2020Pooled it
- The surgical outcomes and educational value of three laparoscopic approaches for pediatric appendectomy performed by surgical residents rotating through pediatric surgery and pediatric surgery fellow training programs: a two-institution retrospective study.Pediatric surgery international · 2026Article
- Modified single-site two-port laparoscopic appendectomy with single-instrument knotting and absorbable clips in children: a retrospective study.Frontiers in pediatrics · 2026Article
- COVID-19-specific risk factor for early post-appendectomy complications (EPAC) in older patients: a retrospective study.Techniques in coloproctology · 2025Observational
- Comparison of Surgical Site Infections in Laparoscopic Versus Open Appendectomy: A Prospective Cohort Study.Cureus · 2025Article
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- Article
- A prospective randomized controlled study comparing patient-reported scar evaluation of single-port versus multiport laparoscopic appendectomy for acute appendicitis.Journal of minimally invasive surgery · 2023Article
- Laparoscopic appendectomy, stump closure and endoloops: A meta-analysis.World journal of gastrointestinal surgery · 2022Article
- Article
- Laparoscopy in Emergency: Why Not? Advantages of Laparoscopy in Major Emergency: A Review.Life (Basel, Switzerland) · 2021Review
- Outcome of intra-operative Purulent Peritoneal Fluid Aspirate Culture Results during Appendicectomy in Patients' Management.Nigerian medical journal : journal of the Nigeria Medical AssociationArticle
- Laparoscopic Appendectomy Translates into Less Analgesics and Faster Return to Work in Asia.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAppendectomy is one of the most common operations. Laparoscopic appendectomy (LA) is considered first-line treatment, but the use of LA for treatment of complicated appendicitis remains controversial. Here, we performed a retrospective analysis to compare clinical outcomes between patients treated with LA and those who underwent open appendectomy (OA).
methodsData for 179 patients who underwent an operation for the treatment of complicated appendicitis at our hospital between 2011 and 2017 were retrospectively analyzed. The selection included 89 patients who underwent a conventional appendectomy and 90 patients who were treated laparoscopically. Outcome measures such as mean operative time, blood loss, time until oral intake duration of hospital stay, and postoperative complications were analyzed. Logistic regression analysis was performed to determine the concurrent effects of the examined factors on the rate of postoperative complications.
resultsThe mean ages of patients in the OA and LA groups were 50.17 ± 22.77 and 50.13 ± 25.84 year. Mean operative times were longer in the LA group than OA (10.2.56 ± 44.4 versus 85.4 ± 43.11 min; p = 0.009). The duration of hospital stay was shorter for the LA group (9.61 ± 5.57 versus 12.19 ± 8.4; p = 0.016). There were no significant differences in return to consumption of oral intake between the LA and OA groups (2.03 ± 1.66 versus 2.48 ± 2.17; p = 0.123). Multivariable analysis found that the rate of postoperative complications was significantly reduced for the LA group, in comparison with the postoperative-complication rate of the OA group (16.7% versus 27%; odds ratio 0.376; 95% CI 0.153-0.923; p = 0.0327).
conclusionsThese results suggest that LA is a safe and efficient operative procedure that provides clinically beneficial advantages in comparison with OA. Thus, when possible, appendectomy for complicated appendicitis should be attempted using a laparoscopic approach.
trial registrationRetrospectively registered.
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