SynthesisInternational journal of colorectal disease2019
Ambulatory versus conventional laparoscopic appendectomy: a systematic review and meta-analysis.
Synthesis in International journal of colorectal disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
A Randomized Double-blind Clinical Trial to Evaluate the Safety and Efficacy of a Outpatient Appendectomy (PENDI_CSI)
Safety and Efficacy of Enhanced Recovery After Surgery Therapeutic Protocol for Complicated Appendicitis in Children
Randomized Clinical Trial to Test the Efficacy and Safety of Outpatient Clinical Management of Urgent Laparoscopic Appendectomy in Complicated Acute Appendicitis
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Same-day discharge after appendectomy for acute appendicitis: a systematic review and meta-analysis.International journal of colorectal disease · 2021Pooled it
- Modified enhanced recovery after surgery protocol for pediatric complicated appendicitis in a Mexican tertiary hospital: a randomized clinical trial.Pediatric surgery international · 2026Trial
- Outpatient management of acute uncomplicated appendicitis after laparoscopic appendectomy: a randomized controlled trial.World journal of emergency surgery : WJES · 2022Trial
- Same-Day Versus Next-Day Discharge After Laparoscopic Appendectomy for Uncomplicated Appendicitis in Children: A Propensity Score-Matched Cost Analysis.Children (Basel, Switzerland) · 2026Article
- Rapid recovery vs standard care in laparoscopic appendectomy: a prospective study on patient-reported outcomes.BMC surgery · 2026Observational
- PACU discharge: equally safe and more cost-effective than floor admission for uncomplicated laparoscopic appendectomy.Perioperative medicine (London, England) · 2025Article
- SAME day amBulatory c (SAMBA): a multicenter, prospective, randomized clinical trial protocol.Trials · 2024Article
- Harnessing Non-Thermal Plasma to Supercharge Recovery in Abdominal Surgeries: A Pilot Study.Journal of clinical medicine · 2024Article
- Risk Factors for Readmission After Short-Hospital-Stay Laparoscopic Appendectomy.World journal of surgery · 2020Article
- Antibiotics alone as an alternative to appendectomy for uncomplicated acute appendicitis in adults: Changes in treatment modalities related to the COVID-19 health crisis.Journal of visceral surgery · 2020Review
- [Antibiotics alone as an alternative to appendectomy for uncomplicated acute appendicitis in adults: Changes in treatment modalities related to the COVID-19 health crisis].Journal de chirurgie viscerale · 2020Review
- Are only a few hours adequate for hospitalisation following mini-incision open appendectomy in paediatric patients?African journal of paediatric surgery : AJPSObservational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAmbulatory laparoscopic appendectomy has gained popularity due to the improved understanding of patient selection criteria, the application of enhanced recovery pathways, and the potential for improving healthcare resource utilization. The aim of the review was to compare the morbidity and readmission rates between ambulatory and conventional laparoscopic appendectomy (LA).
methodsA systematic search was undertaken using PubMed, Embase, Cochrane, and Web of Science. Studies from 2014 to 2018, on adult patients undergoing ambulatory LA, were considered. Meta-analyses were conducted to pool the total number of complications and readmission events in the ambulatory and conventional groups.
resultsA total of 5 studies met our inclusion criteria accounting for 7079 total of patients with acute appendicitis treated by ambulatory LA and 6370 patients treated by conventional LA. We included four observational studies (two prospective and two retrospective) and one randomized controlled trial. Length of stay was significantly lower in the ambulatory group (mean difference = - 15.63 h, 95% CI = - 21.78 to - 9.49, P = < 0.00001). The relative risk (RR) of reoperation was 0.49 (95% CI = 0.12-1.95, P = 0.31). The results demonstrated a pooled RR of overall morbidity of 0.79 (95% CI = 0.65-0.97, P = 0.02) and a pooled RR of readmission of 0.72 (95% CI = 0.59-0.88, P = 0.002), both results favoring the ambulatory LA group.
conclusionThere is a lack of high-quality comparative studies making conclusive recommendations not possible at this time. Based on current data, ambulatory LA may be safe and feasible as compared with conventional LA.
Indexed as
Identifiers
31273450What OpenQuestion holds
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.