Document Detail


Laparoscopic versus traditional appendectomy for suspected appendicitis.
MedLine Citation:
PMID:  8506965     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We compared the results of concurrently performed laparoscopic versus open appendectomy as treatments for suspected acute appendicitis. The 68 laparoscopic procedures resulted in 62 appendectomies, 47 by the laparoscopic (LA) technique and 15 by the open (LO) technique. Another 54 patients underwent open appendectomy (OA). Significantly more females underwent laparoscopy (LA and LO: 52% versus OA: 33%, p = 0.047). Operative duration was shortest for OA (81 +/- 3 minutes), which was shorter than for LO (108 +/- 7 minutes), but not different than LA (86 +/- 6 minutes). The postoperative length of stay was not different for LA (3.5 +/- 0.5 days) compared with OA (5.9 +/- 1.6 days) or LO (4.8 +/- 1.3 days). One death occurred in the OA group. Wound complication rates were not significantly different for LA (4.3%) compared with OA (9.4%) and LO (13.3%). Overall complication rates were lower for LA (10.6%) and OA (18.9%) compared with LO (46.7%, p < 0.01). Median hospital cost for LO ($10,425) was higher (p < 0.02) than for either LA ($5,899) or OA ($5,220). When appendicitis was not present, definitive confirmation of pathology was achieved in 9 of 18 patients undergoing LA versus 4 of 14 patients having OA (p = not significant). We conclude that when laparoscopy and laparoscopic appendectomy can be performed, the procedure is safe and produces results comparable with those of open appendectomy without significant overall cost differences.
Authors:
B D Schirmer; R E Schmieg; J Dix; S B Edge; J B Hanks
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  165     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1993 Jun 
Date Detail:
Created Date:  1993-07-08     Completed Date:  1993-07-08     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  670-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, University of Virginia Health Sciences Center, Charlottesville 22901.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Aged
Aged, 80 and over
Appendectomy* / adverse effects
Appendicitis / diagnosis,  surgery*
Costs and Cost Analysis
Female
Humans
Incidence
Laparoscopy*
Length of Stay / economics
Male
Postoperative Care
Postoperative Complications / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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